Individual
LAURA KISSANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
971 US HIGHWAY 202 N # 6108, BRANCHBURG, NJ 08876-3757
(512) 850-5498
Mailing address
971 US HIGHWAY 202 N # 6108, BRANCHBURG, NJ 08876-3757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4673
MA
363AS0400X
Surgical Physician Assistant
Primary
002905
CT
Other
Enumeration date
04/21/2013
Last updated
03/07/2026
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