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Individual

TZVI NUSSBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1237 HARDING PL, STE 4400, CHARLOTTE, NC 28204
(704) 373-0212
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-01306
NC
207RC0000X
Cardiovascular Disease Physician
2005-01306
NC
208600000X
Surgery Physician
2005-01306
NC
2086S0102X
Surgical Critical Care Physician
2005-01306
NC
2086S0129X
Vascular Surgery Physician
Primary
2005-01306
NC

Other

Enumeration date
09/01/2006
Last updated
07/24/2024
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