Individual
STEPHANIE L. BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE B, BOSTON, MA 02118
(617) 638-8456
Mailing address
720 HARRISON AVENUE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
274401
MA
Other
Enumeration date
05/09/2013
Last updated
06/13/2018
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