Individual
DR. PETER NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
22 OLD SHORT HILLS RD, SUITE 104, LIVINGSTON, NJ 07039-5604
(973) 992-5200
(973) 535-5741
Mailing address
22 OLD SHORT HILLS ROAD, SUITE 102, LIVINGSTON, NJ 07039-5605
(973) 992-5200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA024264
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072501
—
NJ
Enumeration date
12/06/2006
Last updated
10/26/2015
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