Provider Demographics
NPI:1992033682
Name:BLISSETT, JAMES ALHANNAN (RRT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALHANNAN
Last Name:BLISSETT
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MASON ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2926
Mailing Address - Country:US
Mailing Address - Phone:732-767-1656
Mailing Address - Fax:
Practice Address - Street 1:32 MASON ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2926
Practice Address - Country:US
Practice Address - Phone:732-767-1656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00301200227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered