Bisesi, Russell William

Bisesi, Russell William is an individual health care provider with primary practice located at 420 Main St Boston Health Care, Walpole MA 02081-3753. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent is his primary health care specialty. Bisesi, Russell William can be contacted via phone (508) 660-7949.

Contact Information

Primary practice address
420 Main St Boston Health Care Walpole MA 02081-3753
Phone: (508) 660-7949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 242633 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 242633 Massachusetts

Profile Details

NPI number 1801906797
LBN Legal business name Bisesi, Russell William
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 21st, 2016 - about 9 years ago

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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