Eric Dean Nussbaum, ATC
NPI #1639237928 in Freehold, New Jersey
Provider Information
- NPI Number
- 1639237928
- Entity Type
- Individual
- Name
- Eric Dean Nussbaum, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- ATC
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 112 DERBY DR
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-2767
- Phone
- (732) 303-0737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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