Individual
DR. MARC M NUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33-00 BROADWAY, SUITE 206, FAIR LAWN, NJ 07410
(201) 797-6677
(201) 797-5670
Mailing address
33-00 BROADWAY, SUITE 206, FAIR LAWN, NJ 07410
(201) 797-6677
(201) 797-5670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101047500
NJ
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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