Individual
DR. ELISE C BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1014238
MA
207X00000X
Orthopaedic Surgery Physician
328338
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
328338
NY
Other
Enumeration date
03/23/2017
Last updated
01/03/2025
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