Individual
MICHAEL JAY NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 MADISON AVE, SUITE A06, MORRISTOWN, NJ 07960-6092
(973) 998-9833
(973) 998-9832
Mailing address
95 MADISON AVE, SUITE A06, MORRISTOWN, NJ 07960-6092
(973) 998-9833
(973) 998-9832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA061479
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7649401
—
NJ
Enumeration date
06/28/2006
Last updated
01/11/2017
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