Healthcare Provider Details

I. General information

NPI: 1710590716
Provider Name (Legal Business Name): DAVID E BISS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 MANCHESTER ST STE 3
CONCORD NH
03301-5196
US

IV. Provider business mailing address

700 LAKE AVE STE 2
MANCHESTER NH
03103-2734
US

V. Phone/Fax

Practice location:
  • Phone: 603-848-8366
  • Fax:
Mailing address:
  • Phone: 603-621-0681
  • Fax: 603-232-4563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID E BISS
Title or Position: OWNER
Credential: DPM
Phone: 603-621-0681