Organization
ROBIN BISSELL, M.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L. BISSELL M.D. (OWNER)
(301) 895-4270
Entity
Organization
Contact information
Practice address
124 MILLER ST, GRANTSVILLE, MD 21536-0718
(301) 895-4270
(301) 895-4277
Mailing address
124 MILLER ST, GRANTSVILLE, MD 21536-0718
(301) 895-4270
(301) 895-4277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0034231
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287151300
—
MD
Enumeration date
07/25/2006
Last updated
04/16/2013
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