Individual
DR. NEIL NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 N MAIN ST, NORTHAMPTON VA MEDICAL CENTER, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
421 N MAIN ST, NORTHAMPTON VA MEDICAL CENTER, LEEDS, MA 01053-9764
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50940
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
50940
MA
Other
Enumeration date
09/25/2006
Last updated
12/21/2010
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