Organization
GEORGE M. NASSOOR, D.P.M., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MICHAEL NASSOOR D.P.M. (PODIATRIST)
(908) 454-3770
Entity
Organization
Contact information
Practice address
430 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-1573
(908) 454-3770
(908) 454-7822
Mailing address
430 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-1573
(908) 454-3770
(908) 454-7822
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD01279
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02698600
CAPITAL BLUE CROSS
PA
01
—
2346476000
AMERIHEALTH
NJ
Enumeration date
05/30/2007
Last updated
07/03/2008
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