Provider Demographics
NPI:1710590716
Name:DAVID E BISS PLLC
Entity Type:Organization
Organization Name:DAVID E BISS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:BISS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-621-0681
Mailing Address - Street 1:700 LAKE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2734
Mailing Address - Country:US
Mailing Address - Phone:603-621-0681
Mailing Address - Fax:603-232-4563
Practice Address - Street 1:163 MANCHESTER ST STE 3
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5196
Practice Address - Country:US
Practice Address - Phone:603-848-8366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty