Carl W Nissen in Glastonbury - Pediatric Orthopaedic Surgery
Carl W Nissen - NPI 1982601530
Carl W Nissen is a Pediatric Orthopaedic Surgery in Glastonbury, Connecticut. Carl W Nissen practices all healthcare services and medical treatments related to Pediatric Orthopaedic Surgery. The NPI Number for Carl W Nissen is 1982601530. The last update date is 2019-03-11.
Carl W Nissen's current location address is 195 Eastern Blvd, Glastonbury, Connecticut. You can contact this provider via phone number 8605277161 and fax number 8606528410. The mailing address for Carl W Nissen is 195 Eastern Blvd, Glastonbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl W Nissen |
|---|---|
| Address | 195 Eastern Blvd, Glastonbury, Connecticut |
| Phone Number | 8605277161 |
| Fax Number | 8606528410 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982601530 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2019-03-11 |
Provider Mailing Address Detail
| Address | 195 Eastern Blvd |
|---|---|
| City | Glastonbury |
| State | Connecticut (CT) |
| Post Code | 60334312 |
| Phone Number | 8605277161 |
| Fax Number | 8606528410 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xp3100X |
| Licence No | 33613 |
|
Definition: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abn |
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Post Comment/ Review Below
What is the unique identifier code issued to Carl W Nissen by the Centers for Medicare & Medicaid Services?
The Carl W Nissen has been assigned the NPI (National Provider Identifier) 1982601530. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carl W Nissen is physically located?
The Carl W Nissen is physically situated at the following address: 195 Eastern Blvd, Glastonbury, CT, 60334312.
What is Carl W Nissen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carl W Nissen's area of specialization is Pediatric Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xp3100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982601530 to Carl W Nissen?
The Centers for Medicare & Medicaid Services assigned the 1982601530 to Carl W Nissen on 2005-06-28.
When was the Carl W Nissen's information last updated?
The Carl W Nissen's information was last updated on 2019-03-11.