| Robert A. Nussbaum, Md, P.c. | |
|
6355 Walker Ln Ste 309 Alexandria VA 22310-3247 | |
| (703) 313-8400 | |
| (703) 313-9666 |
| Full Name | Robert A. Nussbaum, Md, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6355 Walker Ln, Alexandria, Virginia |
| Authorized Official Name and Position | Robert A Nussbaum (PRESIDENT) |
| Authorized Official Contact | 7033138400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Nussbaum, Md, P.c. 6355 Walker Ln Ste 309 Alexandria VA 22310-3247 Ph: (703) 313-8400 | Robert A. Nussbaum, Md, P.c. 6355 Walker Ln Ste 309 Alexandria VA 22310-3247 Ph: (703) 313-8400 |
| NPI Number | 1598041477 |
|---|---|
| Provider Enumeration Date | 10/24/2011 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 7012183957 |
|---|---|
| Medicare Enrollment ID | O20111227000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598041477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101047887 (Virginia) | Primary |
| Provider Name | Robert A Nussbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659364511 PECOS PAC ID: 9638345572 Enrollment ID: I20111227000661 |
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