Individual
RANDELL A NUSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2087 ROUTE 9 STE 9, OCEAN VIEW, NJ 08230-1148
(609) 486-5150
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1492
VI
207R00000X
Internal Medicine Physician
200400287
NC
207R00000X
Internal Medicine Physician
Primary
25MA04738500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108388000
AMERIHEALTH
—
05
—
3874206
—
NJ
Enumeration date
04/14/2006
Last updated
04/08/2025
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