Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 125.071606 | IL |
NPI | 1043742224 |
---|---|
Provider Name | Dr. Ryan Paul Nussbaum |
First Address | Pittsburgh, PA 15213-3410 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 01/07/2021 |