DR. MOLLIE BEA NISEN MD NPI 1013412386

NPI Information

DR. Mollie Bea Nisen, MD is an addiction medicine family medicine in Camden, NJ with 6 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Mollie Bea Nisen, MD NPI is 1013412386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2018

The provider's business location address is:

800 COOPER ST FL 4
CAMDEN, NJ
ZIP 08102-155
Phone: (856) 342-3040
Fax: (856) 342-3049

The NPI 1013412386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 10/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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