Individual
JOHN C NULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 BATTERSON PARK RD, FARMINGTON, CT 06032-2568
(860) 679-7503
Mailing address
2 BATTERSON PARK RD, FARMINGTON, CT 06032-2568
(860) 679-7503
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
028057
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1280577
—
CT
Enumeration date
06/28/2005
Last updated
11/18/2022
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