TEODORO P. NISSEN M.D. INC NPI 1629248109

NPI Information

TEODORO P. NISSEN M.D., INC is a specialist in Vallejo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TEODORO P. NISSEN M.D., INC NPI is 1629248109. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Bay Area Orthopedic Surgery And Sports Medicine.

The provider's business location address is:

100 HOSPITAL DR
SUITE 303
VALLEJO, CA
ZIP 94589-580
Phone: (707) 645-7210
Fax: (707) 645-7249

The provider's authorized official is Teodoro Pedro Nissen .
The authorized official title is Ceo and has the following contact phone number (707) 645-7210.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 7/11/2019.

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:

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