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1922096122
FREDERICK P NISSLEY
PHILADELPHIA, PA
NPI
1922096122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: PA 0S009450L)
Enumeration Date
2005-10-11
Last Update Date
2010-01-22
Business Address
-- FREDERICK P NISSLEY DO
3401 N BROAD ST BSMT ROCK PAVILION
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3646
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Mailing Address
-- FREDERICK P NISSLEY DO
PO BOX 827783 2ND FLOOR HUDSON BUILDING
PHILADELPHIA, PA 19182-7783
Phone number: 215-707-3646
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