Charly A Bisso
Physician Assistant in Millburn, New Jersey
1497455695- Practice location
- 90 Millburn Ave Ste 206, Millburn, NJ 07041-1933
- Phone
- 973-763-7546
- Fax
- —
- Last updated
- December 26, 2024
Charly Anne Bisso is a Physician Assistant based in Millburn, NJ. Charly Anne Bisso practices in Millburn, NJ. The NPI Number for Charly Anne Bisso is 1497455695 and holds a License No. 25MP00770400 (NJ). The current practice location address for Charly Anne Bisso is 90 Millburn Ave Ste 206, Millburn, NJ 07041-1933 and can be reached out via phone at 973-763-7546.
Provider Profile Details
- NPI Number
- 1497455695
- Provider Name
- Charly Anne Bisso
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 90 Millburn Ave Ste 206, Millburn, NJ 07041-1933
- Phone Number
- 973-763-7546
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2023
- Last Update Date
- December 26, 2024
- Certification Date
- December 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Millburn Ave Ste 206
Millburn, NJ 07041-1933 - City
- Millburn
- State
- New Jersey
- Zip
- 07041-1933
- Phone Number
- 973-763-7546
Provider Business Mailing Address Details
- Address
- 124 Tabor St
Brentwood, NY 11717-7912 - City
- Brentwood
- State
- NY
- Zip
- 11717-7912
- Phone Number
- 917-572-0227
License Information
- License Number
- 25MP00770400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Charly A Bisso?
The NPI number of Charly A Bisso is 1497455695. It was assigned on March 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Charly A Bisso?
Charly A Bisso is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00770400.
Where does Charly A Bisso practice?
The practice location is 90 Millburn Ave Ste 206, Millburn, NJ 07041-1933. The office can be reached at 973-763-7546 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497455695 directly on the NPPES registry website.