NPI 1083602874 · live from the CMS NPI Registry
Rosaire W Bisson, PA
Physician Assistant in Richford, VT. National Provider Identifier 1083602874, active.
NPI record
| NPI | 1083602874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 44 Main St Ste 200, Richford, VT 05476 |
| Practice phone | 802-255-5500 |
| Mailing address | 655 Holy Cross Rd, Colchester, VT 05446 |
| Enumerated | October 6, 2005 |
| Last updated | October 15, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 0550030282 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.