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Individual

DR. ROBERT ALAN NUSSBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6355 WALKER LN, SUITE # 309, ALEXANDRIA, VA 22310-3245
(703) 313-8400
(703) 313-9666
Mailing address
6355 WALKER LN, SUITE # 309, ALEXANDRIA, VA 22310-3245
(703) 313-8400
(703) 313-9666

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101047887
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5806372
VA
Enumeration date
08/25/2005
Last updated
03/02/2014
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