Individual
DR. ALLISON NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(203) 737-7129
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
62354
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
288074
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299074
MEDICAL LICENSE
MA
Enumeration date
03/26/2016
Last updated
09/13/2021
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