Organization
HAND SURGICAL & REHABILITATION ASSOC., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK NISSENBAUM M.D. (PRESIDENT)
(215) 947-3606
Entity
Organization
Contact information
Practice address
1841 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-7712
(215) 947-3606
(215) 947-6901
Mailing address
1841 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-7712
(215) 947-3606
(215) 947-6901
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MD012063E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326046103
NPI FOR INDIVIDUAL
—
Enumeration date
05/10/2007
Last updated
01/31/2008
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