Individual
DAVID A. NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 SPRUCE ST, PHILADELPHIA, PA 19106-3706
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08925700
NJ
2085R0202X
Diagnostic Radiology Physician
MD436428
PA
Other
Enumeration date
01/09/2007
Last updated
02/19/2013
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