Individual
MRS. JULIE MARIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0946
NH
363A00000X
Physician Assistant
PA001305
ME
363A00000X
Physician Assistant
PA4247
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3110994
—
NH
Enumeration date
09/15/2011
Last updated
03/01/2018
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