Individual
JOEL S NIZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1124 E RIDGEWOOD AVE STE 202, RIDGEWOOD, NJ 07450-3941
(201) 689-9100
(201) 689-9108
Mailing address
1124 E RIDGEWOOD AVE STE 202, RIDGEWOOD, NJ 07450-3941
(201) 689-9100
(201) 689-9108
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MA44217
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MAI0505803
—
NJ
Enumeration date
09/23/2005
Last updated
10/02/2018
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