Provider Demographics
NPI:1568621134
Name:NUTINI, DENNIS NEIL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:NEIL
Last Name:NUTINI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-339-3761
Practice Address - Street 1:8 BRICK PLZ
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4045
Practice Address - Country:US
Practice Address - Phone:800-321-9999
Practice Address - Fax:267-479-1321
Is Sole Proprietor?:No
Enumeration Date:2008-06-08
Last Update Date:2022-02-24
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Provider Licenses
StateLicense IDTaxonomies
PAMD456785208100000X
NY243055208100000X
MDD0068644208100000X
NJ25MA09795600208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation