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Individual

CARL W NISSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
31 SEYMOUR ST STE 204, HARTFORD, CT 06106-5505
(860) 421-3233
Mailing address
31 PINNACLE RIDGE RD, FARMINGTON, CT 06032-3041
(860) 421-3233

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
033613
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
033613
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
33613
CT

Other

Enumeration date
06/28/2005
Last updated
11/19/2025
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