Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK E NISSIM, M./D.

Active

JACK E NISSIM, M./D. is a Pulmonary Disease healthcare provider located in TOWSON, Maryland. NPI 1316029291 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · TOWSON, MD

Registration Details

NPI Number: 1316029291
Provider Type: Individual
Gender: Male
NPI Issued: Oct 19, 2006 (19.855622847709 yrs)
Last Updated: Aug 28, 2012
Licenses: D0012942 (MD)

D0012942 (MD)

Practice Information

Address: 7505 OSLER DR

409

TOWSON, MD, 212047736
Browse MD providers · Browse ZIP 21204
Phone: 4103215651
Fax: 4105830134
Primary Specialty: Pulmonary Disease
207RP1001X
Additional Specialty: Pulmonary Disease

Other Pulmonary Disease Providers in TOWSON, MD

Name	Credential	NPI
DR. HASSAN M MAKHZOUMI	—	1912993031
DR. PETER J SLOANE	M.D.	1902867401
LINDA F BARR	M.D.	1629033212
PHILIP CLAY BUESCHER	M.D.	1952369449
GEORGE A. BEDON	M.D.	1487602421
ARI ZAIMAN	M.D.	1104862572

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.