Individual
DR. CHARLES NUTTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
352 7TH AVE, SUITE 808, NEW YORK, NY 10001-5012
(212) 239-8042
(212) 239-8043
Mailing address
169 E 69TH ST, SUITE 2A, NEW YORK, NY 10021-5163
(917) 593-2458
(212) 249-1919
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
176345
NY
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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