Individual provider · Type 1 NPI

Jonathan M. Bisaillon, MD

Cardiovascular Disease Physician · Upton, MA

NPI number 1629463963 Active

Practice location

236 Milford St
Upton, MA 01568-1309

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X273355 (MA)
Internal Medicine Physician 207R00000X273355 (MA)
Nuclear Cardiology Physician 207UN0901X273355 (MA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1629463963

Jonathan M. Bisaillon, MD's National Provider Identifier is 1629463963, issued on Apr 3, 2015. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Upton, MA. The record was last updated on Jul 6, 2026.