Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 19740 | MA |
NPI | 1053497719 |
---|---|
Provider Name | Dr. Christopher N Bissada |
First Address | Franklin, MA 02038-1439 |
Second Address | Norwood, MA 02062-6612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |