Individual
NISSIM JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
73 COUNTRYSIDE RD, NEWTON, MA 02459-2917
(617) 964-3795
Mailing address
P.O. BOX 509291, NEWTON, MA 02459
(617) 964-3795
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42270
MA
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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