Carl W Nissen
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
195 Eastern Blvd
Glastonbury
, Connecticut 06033-4312
Carl W Nissen
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
195 Eastern Blvd
Glastonbury
, Connecticut 06033-4312
(860) 652-8410
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Carl W Nissen
- 195 Eastern Blvd
- Glastonbury, CT
- Zip : 06033-4312
- Fax : (860) 652-8410
- Phone : (860) 527-7161
Second Address
- Carl W Nissen
- 195 Eastern Blvd
- Glastonbury, CT
- Zip : 06033-4312
- Fax : (860) 652-8410
- Phone : (860) 527-7161
Reviews
FAQs
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In what state does Carl W Nissen practice in?
Where is Carl W Nissen ’s practice located?
What is Carl W Nissen ’s gender?
Is Carl W Nissen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 033613 | CT |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 033613 | CT |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 33613 | CT |
National Provider Identifier
| NPI | 1982601530 |
|---|---|
| Provider Name | Carl W Nissen |
| First Address | Glastonbury, CT 06033-4312 |
| Second Address | Glastonbury, CT 06033-4312 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 11/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.