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

FREDERICK P NISSLEY, DO

Active

Physical Medicine & Rehabilitation · PHILADELPHIA, PA

Registration Details

NPI Number
1922096122
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2005 (20.568950086889 yrs)
Last Updated
Jan 22, 2010
License
0S009450L (PA)

Practice Information

Address
3401 N BROAD ST
BSMT ROCK PAVILION
PHILADELPHIA, PA, 191405103
Browse PA providers · Browse ZIP 19140
Phone
2157073646
Fax
2157076594
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in PHILADELPHIA, PA

Name Credential NPI
DR. MEETA DEVENDRA PEER M.D. 1154328136
MR. MICHAEL GUTHRIE MD 1295733301
ARELYNE PACHO MD 1275534638
ANDREA E BROWN MD 1477554731
KERI MARIE LAVIGNE-LANGENSTEIN MD 1225020688
MICHAEL M WEINIK DO 1497743694
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.