Individual provider · Type 1 NPI
Eric Dean Nussbaum, ATC
Specialist · Freehold, NJ
NPI number
1639237928
Active
Practice location
112 Derby Dr
Freehold, NJ 07728-2767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1639237928
Eric Dean Nussbaum, ATC's National Provider Identifier is 1639237928, issued on Dec 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Freehold, NJ. The record was last updated on Jul 8, 2007.