MEDICARE: JEFFREY NUSBAUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD463342	PA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	D0091740	MD
3	207RP1001X	Pulmonary Disease Physician	D0091740	MD
4	207P00000X	Emergency Medicine Physician	D0091740	MD

General Provider Information

NPI Number	:	1821415019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY NUSBAUM

Provider Business Mailing Address
First Line	:	3600 FORBES AVE
Second Line	:	FORBES TOWER PLAZA LEVEL SUITE 140
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 LINDEN AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-4606
Country	:	US
Telephone Number	:	410-328-8141
Fax Number	:	410-328-0177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	09/02/2025

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Directions to “ JEFFREY NUSBAUM ” Practice Location

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