Bisson, Gregory Paul

Bisson, Gregory Paul is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bisson, Gregory Paul can be contacted via phone (215) 662-6932.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104
Fax: (215) 662-7899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD074414L Pennsylvania

Profile Details

NPI number 1780614776
LBN Legal business name Bisson, Gregory Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 26th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780614776 NPPES
Pennsylvania MEDICAID 101187880002

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