Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE NISENBAUM, MD
ActiveMICHELLE NISENBAUM, MD is a Interventional Vascular Surgery healthcare provider located in WATERBURY, Connecticut. NPI 1639259252 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · WATERBURY, CT
Registration Details
- NPI Number
- 1639259252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2006 (19.835381262453 yrs)
- Last Updated
- Sep 12, 2012
- Licenses
-
043409 (CT)043409 (CT)
Practice Information
- Address
-
1320 WEST MAIN STBLDG 2WATERBURY, CT, 06708Browse CT providers · Browse ZIP 06708
- Phone
- 2037559355
- Fax
- 2035978192
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
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.