Individual
THERESA A BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2970 CORPORATE CT, OREFIELD, PA 18069-3158
(610) 440-3534
Mailing address
2970 CORPORATE CT, OREFIELD, PA 18069
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
0
PA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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