Individual
ELIEZER ZACHARY NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, BUL-130, BOSTON, MA 02114
(617) 726-3812
(617) 726-3755
Mailing address
55 FRUIT STREET, BUL-130, BOSTON, MA 02114
(617) 726-3812
(617) 726-3755
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
1013347
MA
207RI0200X
Infectious Disease Physician
283372
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2017
Last updated
06/16/2023
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