Michelle Nisenbaum, MD
Pain Medicine, Interventional Pain Medicine in Waterbury, Connecticut
1639259252- Practice location
- 1320 West Main St, Bldg 2, Waterbury, CT 06708
- Phone
- 203-755-9355
- Fax
- 203-597-8192
- Last updated
- September 12, 2012
Michelle Nisenbaum is a Pain Medicine, Interventional Pain Medicine based in Waterbury, CT. Michelle Nisenbaum practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Michelle Nisenbaum is 1639259252 and holds a License No. 043409 (CT). The current practice location address for Michelle Nisenbaum is 1320 West Main St, Bldg 2, Waterbury, CT 06708 and can be reached out via phone at 203-755-9355 and via fax at 203-597-8192.
Provider Profile Details
- NPI Number
- 1639259252
- Provider Name
- Michelle Nisenbaum
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1320 West Main St, Bldg 2, Waterbury, CT 06708
- Phone Number
- 203-755-9355
- Fax Number
- 203-597-8192
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 17, 2006
- Last Update Date
- September 12, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1320 West Main St
Bldg 2
Waterbury, CT 06708 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708
- Phone Number
- 203-755-9355
- Fax Number
- 203-597-8192
Provider Business Mailing Address Details
- Address
- 1320 West Main St
Bldg 2
Waterbury, CT 06708 - City
- Waterbury
- State
- CT
- Zip
- 06708
- Phone Number
- 203-755-9355
- Fax Number
- 203-597-8192
License Information
- License Number (1)
- 043409
- License State (1)
- CT
- Taxonomy (1)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- License Number (2)
- 043409
- License State (2)
- CT
- Taxonomy (2)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michelle Nisenbaum, MD?
The NPI number of Michelle Nisenbaum, MD is 1639259252. It was assigned on October 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Michelle Nisenbaum, MD?
Michelle Nisenbaum, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in CT under license number 043409.
Where does Michelle Nisenbaum, MD practice?
The practice location is 1320 West Main St, Bldg 2, Waterbury, CT 06708. The office can be reached at 203-755-9355 (phone) or 203-597-8192 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639259252 directly on the NPPES registry website.