Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charly Anne Bisso

Individual provider Physician Assistant · NPI 1497455695

Charly Anne Bisso is a Physician Assistant in Millburn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2023.

Licensed in
NJ
In the registry since
2023

Practice location Address checks out

90 Millburn Ave Ste 206
Millburn, NJ 07041-1933
Phone: (973) 763-7546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00770400 (NJ)

Record details

NPI number1497455695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address124 Tabor St, Brentwood, NY 11717-7912

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