Individual
JEFFREY W BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
481 EDWARD H ROSS DR, ELMWOOD PARK, NJ 07407-3118
(616) 307-7022
Mailing address
481 EDWARD H ROSS DR, ELMWOOD PARK, NJ 07407-3118
(616) 307-7022
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
15433
MI
Other
Enumeration date
06/17/2011
Last updated
01/02/2018
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