FREDERICK P NISSLEY

PHILADELPHIA, PA
NPI1922096122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: PA  0S009450L)
Enumeration Date2005-10-11
Last Update Date2010-01-22
Business Address
-- FREDERICK P NISSLEY DO
3401 N BROAD ST BSMT ROCK PAVILION
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3646
Mailing Address
-- FREDERICK P NISSLEY DO
PO BOX 827783 2ND FLOOR HUDSON BUILDING
PHILADELPHIA, PA 19182-7783
Phone number: 215-707-3646