Individual
JASON BISAILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3566
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3566
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73237
CT
Other
Enumeration date
04/06/2020
Last updated
07/26/2023
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