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Organization
BISACCIA CHIROPRACTORS PC
Active
Organization
BISACCIA CHIROPRACTORS PC
Active
Other names
Williston Chiropractic and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNA MICHELLE BISACCIA DC (VP PHYSICIAN)
(802) 863-2272
Entity
Organization
Contact information
Practice address
802 INDUSTRIAL AVE, WILLISTON, VT 05495-7122
(802) 863-2272
(802) 658-0823
Mailing address
PO BOX 669, 802 INDUSTRIAL AVE, WILLISTON, VT 05495-0669
(802) 863-2272
(802) 658-0823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015150
—
VT
Enumeration date
10/27/2006
Last updated
12/03/2010
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