Individual
DR. ERIC ROBERT NISENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3 SEDGEFIELD DR, MORRIS PLAINS, NJ 07950-3032
(973) 539-7550
(973) 539-1395
Mailing address
3 SEDGEFIELD DR, MORRIS PLAINS, NJ 07950-3032
(973) 539-7550
(973) 539-1395
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0560000179
VT
213E00000X
Podiatrist
Primary
25MD00148000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1742400
—
NJ
05
—
OVN3362
—
VT
Enumeration date
01/29/2007
Last updated
06/22/2011
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