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NPI Code Detail

MEDICARE: DINA NASSAR MD

MEDICARE: DINA NASSAR MD
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
1208000000XPediatrics PhysicianMD470871PA

General Provider Information

NPI Number : 1770015737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA NASSAR MD
Provider Business Mailing Address
First Line : 16 ACORN DR
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-1635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-484-5135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 01/28/2026

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Directions to “ DINA NASSAR MD” Practice Location

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