Individual
DR. CHARLES BERYL NISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 W STREET RD, FEASTERVILLE, PA 19053-4168
(215) 322-7810
(215) 322-7832
Mailing address
137 W STREET RD, FEASTERVILLE, PA 19053-4168
(215) 322-7810
(215) 322-7832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DS017304L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023182000
KEYSTONE
PA
01
—
160558
BLUE SHIELD
PA
01
—
4437
AETNA
PA
Enumeration date
02/15/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us