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NPI Code Detail

MEDICARE: MRS. MONELLE G BISSON MD

MEDICARE: MRS. MONELLE G BISSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician9597NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2160028875OTHERNHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275527913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONELLE G BISSON MD
Provider Business Mailing Address
First Line : PO BOX 3677
Second Line :
City : NASHUA
State : NH
Zip : 03061-3677
Country : US
Telephone Number : 603-577-7900
Fax Number : 603-577-7972
Provider Business Practice Location Address
First Line : 8 PROSPECT ST
Second Line :
City : NASHUA
State : NH
Zip : 03060-3925
Country : US
Telephone Number : 603-577-3053
Fax Number : 603-882-0360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/30/2014

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Directions to “ MRS. MONELLE G BISSON MD” Practice Location

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