FREDERICK NISSLEY, DO

Physical Medicine & Rehabilitation

Active Individual
NPI: 1922096122

Practice Address

3401 N BROAD ST
BSMT ROCK PAVILION
Philadelphia, PA 19140

Phone: (215) 707-3646

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation 208100000X Yes 0S009450L (PA)

Frequently Asked Questions

NPI 1922096122 is the National Provider Identifier for FREDERICK NISSLEY, DO, a Physical Medicine & Rehabilitation provider located in Philadelphia, PA. This NPI was enumerated on October 11, 2005.
FREDERICK NISSLEY, DO practices at 3401 N BROAD ST, BSMT ROCK PAVILION, Philadelphia, PA 19140.

Quick Facts

NPI
1922096122
Type
Individual
Enumerated
Oct 11, 2005
Last Updated
Jan 22, 2010

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