Search › Maryland › 207RP1001X
Jack Nissim, M./D
NPI 1316029291 · on the registry since 2006
Practice
- Address
- 7505 Osler Dr
409
Towson, MD 21204 - Phone
- (410) 321-5651
- Fax
- (410) 583-0134
- Organisation at this address
- Walgreen Co
Erc Maryland
Neena Rao,Md
Jin Gu Md Pa
Towson Optical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 94
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207RC0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland