Provider Demographics
NPI:1225275456
Name:NUTMAN, THOMAS BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BRUCE
Last Name:NUTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 CENTER DR
Mailing Address - Street 2:BLDG 4 - ROOM B1-03
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0425
Mailing Address - Country:US
Mailing Address - Phone:301-496-5398
Mailing Address - Fax:301-480-3757
Practice Address - Street 1:4 CENTER DR
Practice Address - Street 2:BLDG 4 - ROOM B1-03
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0425
Practice Address - Country:US
Practice Address - Phone:301-496-5398
Practice Address - Fax:301-480-3757
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD29940207K00000X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology