Charly Anne Bisso

Physician Assistant · Millburn, NJ

Individual Active NPI

NPI number 1497455695

Practice location

90 Millburn Ave Ste 206
Millburn, NJ 07041-1933
Phone
(973) 763-7546

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NPI record

NPI
1497455695
Entity type
Individual (Type 1)
Enumeration date
March 6, 2023
Last updated
December 26, 2024
Certified
December 26, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 25MP00770400 NJ

Mailing address

124 Tabor St
Brentwood, NY 11717-7912
Phone
(917) 572-0227

About Charly Bisso

Charly Anne Bisso is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 90 Millburn Ave Ste 206, Millburn, NJ 07041-1933. The NPI number 1497455695 was assigned on March 6, 2023 and the record was last updated on December 26, 2024.

Charly Bisso lists a license in the registry: #25MP00770400 (NJ) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charly Anne Bisso?

The NPI number is 1497455695.

What is the phone number of Charly Bisso?

The phone number listed for the practice location is (973) 763-7546.

Where is Charly Bisso located?

90 Millburn Ave Ste 206, Millburn, NJ 07041-1933.

What is the taxonomy code for Charly Bisso?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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