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1144240565
GERALD NISSENBAUM
CAMDEN, NJ
NPI
1144240565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NJ 25MA03764500)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- GERALD NISSENBAUM MD
1600 HADDON AVE
CAMDEN, NJ 08103-3117
Phone number: 888-609-8116
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Mailing Address
-- GERALD NISSENBAUM MD
PO BOX 31037
NEWARK, NJ 07101
Phone number: 856-616-8100
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