Individual
DR. PERRY D NISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1250 S COLLEGEVILLE RD, UP1455, COLLEGEVILLE, PA 19426-2990
(610) 917-6754
(610) 917-4181
Mailing address
1250 S COLLEGEVILLE RD, UP1455, COLLEGEVILLE, PA 19426-2990
(610) 917-6754
(610) 917-4181
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD427562
PA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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