Individual
BRIAN A LISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HOLY FAMILY HOSPITAL ED, 70 EAST STREET, METHUEN, MA 01844
(978) 687-0156
Mailing address
276 CODMAN HILL RD, APT. NO. 22A, BOXBOROUGH, MA 01719-1723
(978) 687-0156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47980
MA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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