Individual
DR. ANNETTE OBOLEVICH NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-0050
Mailing address
4 SADDLE HILL RD, FAR HILLS, NJ 07931-2204
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
205573
NY
2085R0202X
Diagnostic Radiology Physician
25MA06450800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01928129
—
NY
Enumeration date
04/25/2006
Last updated
08/19/2022
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