Individual
RUSSELL WILLIAM BISESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN BC
Contact information
Practice address
420 MAIN ST, BOSTON HEALTH CARE, WALPOLE, MA 02081-3753
(508) 660-7949
Mailing address
136 WELD ST, ROSLINDALE, MA 02131-1042
(617) 755-9898
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
242633
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
242633
MA
Other
Enumeration date
08/30/2006
Last updated
03/21/2016
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