Organization
GEORGE M. NASSOOR, D.P.M., LLC
Active
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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