Individual
DR. ELLIOT Y. NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
180 PASSAIC AVE, FAIRFIELD, NJ 07004-3516
(800) 447-4791
Mailing address
84 MEADOWVIEW CT, LEONIA, NJ 07605-2045
(201) 406-0624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03232600
NJ
Other
Enumeration date
10/14/2008
Last updated
09/27/2022
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