Nisen, Mollie Bea

Nisen, Mollie Bea is an individual health care provider with primary practice located at 3 Cooper Plz Rm 220 , Camden NJ 08103-1438. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Nisen, Mollie Bea can be contacted via phone (856) 342-3040.

Contact Information

Primary practice address
3 Cooper Plz Rm 220 Camden NJ 08103-1438
Phone: (856) 342-3040
Fax: (856) 342-3049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 25MA11921500 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61055643 Washington

Profile Details

NPI number 1013412386
LBN Legal business name Nisen, Mollie Bea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2018
Last updated Feb 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013412386 NPPES
Washington MEDICAID 2104633

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