Individual
DR. ROGER C NUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 LONGWOOD AVE, FLOOR 3, BOSTON, MA 02115-5711
(617) 355-6460
(617) 730-0337
Mailing address
300 LONGWOOD AVE, LO-367, BOSTON, MA 02115-5724
(617) 355-6417
(617) 730-0611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
77542
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107035
—
MA
Enumeration date
02/11/2006
Last updated
07/02/2008
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