Organization
JAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. BISSON M.D. (OWNER)
(802) 863-0107
Entity
Organization
Contact information
Practice address
64 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 863-0107
(802) 658-9292
Mailing address
64 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 863-0107
(802) 658-9292
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
VT
Other
Enumeration date
06/21/2007
Last updated
04/10/2008
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