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Individual
ROBERT SISE
Active
Individual
ROBERT SISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MEDPHYSLIC67292
MT
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-67292
MT
2084P0802X
Addiction Psychiatry Physician
MED-PHYS-LIC-67292
MT
Other
Enumeration date
06/18/2014
Last updated
05/16/2023
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