Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEF NISENBAUM, DO
ActiveJOSEF NISENBAUM, DO is a Diagnostic Radiology healthcare provider located in PLACITAS, New Mexico. NPI 1790789493 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · PLACITAS, NM
Registration Details
- NPI Number
- 1790789493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.209502569885 yrs)
- Last Updated
- Nov 21, 2019
- Licenses
-
A-1195-02 (NM)A-1195-02 (NM)
Practice Information
- Address
-
126 DIAMOND TAIL RDPLACITAS, NM, 870438338Browse NM providers · Browse ZIP 87043
- Phone
- 5052643550
- Fax
- 5053326921
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
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.