Provider Demographics
NPI:1619072782
Name:BISER, NEIL DAMON (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:DAMON
Last Name:BISER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1563 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8753
Mailing Address - Country:US
Mailing Address - Phone:717-566-8718
Mailing Address - Fax:
Practice Address - Street 1:1563 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8753
Practice Address - Country:US
Practice Address - Phone:717-566-8718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004410L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU71427Medicare UPIN
PA012374Medicare ID - Type Unspecified