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NPI Code Detail

MEDICARE: ROBERT A. NUSSBAUM, MD, P.C.

MEDICARE: ROBERT A. NUSSBAUM, MD, P.C.
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
1207RG0100XGastroenterology Physician0101047887VA

General Provider Information

NPI Number : 1598041477
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT A. NUSSBAUM, MD, P.C.
Provider Business Mailing Address
First Line : 6355 WALKER LN
Second Line : STE 309
City : ALEXANDRIA
State : VA
Zip : 22310-3247
Country : US
Telephone Number : 703-313-8400
Fax Number : 703-313-9666
Provider Business Practice Location Address
First Line : 6355 WALKER LN
Second Line : STE 309
City : ALEXANDRIA
State : VA
Zip : 22310-3247
Country : US
Telephone Number : 703-313-8400
Fax Number : 703-313-9666
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT A NUSSBAUM
Credential : M.D.
Telephone Number : 703-313-8400
Provider Enumeration Date : 10/24/2011
Last Update Date : 03/04/2014

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