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Individual
DR. JONATHAN SISSKIND
Active
Individual
DR. JONATHAN SISSKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2149
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002149
TUFTS
MA
01
—
043379412
PRIVATE HEALTHCARE SYSTEM
MA
01
—
1041613
AMERICAN SPECIALTY HEALTH
MA
05
—
1612514
—
MA
01
—
350424
HARVARD PILGRIM (HPHC)
MA
01
—
391886617
TRIAD
MA
01
—
4400722
UNITED HEALTH CARE
MA
01
—
646858
ACN
MA
01
—
791400
AETNA
MA
01
—
HMO BLUE
BC/BS HMO
MA
01
—
Y36568
BLUE CROSS/ BLUE SHIELD
MA
Enumeration date
07/18/2006
Last updated
11/09/2022
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