Individual
DR. THOMAS C BISETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 HAWTHORNE DR, BEDFORD, NH 03110-6912
(603) 622-8619
Mailing address
58 HAWTHORNE DR, BEDFORD, NH 03110-6912
(603) 622-8619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4729
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101594YPNH01
BLUE SHIELD IDENTIFICATIO
NH
05
—
81370931
—
NH
Enumeration date
04/12/2006
Last updated
01/30/2008
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