Organization
ERIC R. NISENSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R NISENSON DPM (SOLE PROPRIETOR)
(973) 539-7550
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
0560000179
VT
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MD00148000
NJ
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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