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Jack E Nissim, M/D
Pulmonary Disease Physician in Towson, Maryland
NPI 1316029291

Jack E Nissim is a Pulmonary Disease Physician based in Owings Mills, MD and is specialized in Pulmonary Disease. Jack E Nissim practices in Towson, MD and has the professional credentials of M/D. The NPI Number for Jack E Nissim is 1316029291 and holds a License No. D0012942 (Maryland).

The current practice location address for Jack E Nissim is 7505 Osler Dr, Towson, MD and can be reached out via phone at 410-321-5651 and via fax at 410-583-0134.

Location: 7505 Osler Dr, Towson, MD, 21117-3290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316029291
Provider Name
Jack E Nissim
Credential
M/D
Provider Entity Type
Individual
Gender
Male
Address
7505 Osler Dr, Towson, MD, 21117-3290
Phone Number
410-321-5651
Fax Number
410-583-0134
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4800034 01 UNITED HEALTHCARE MCO
789201200 05 MD
0005 E554 01 MD BLUE CHOICE/FEP
34438002 420A 01 MD BLUE SHIELD
274550 01 UNITED HEALTHCARE
290010917 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
7505 Osler Dr
City
Towson
State
Maryland
Zip
21204-7736
Phone Number
410-321-5651
Fax Number
410-583-0134
person
Provider Business Mailing Address Details
Address
7505 Osler Dr
City
Towson
State
Maryland
Zip
21204-7736
Phone Number
410-321-5651
Fax Number
410-583-0134
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
D0012942 (Maryland)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
D0012942 (Maryland)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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