Individual
MEGHAN E SISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BOSTON, MA 02114
(617) 726-2862
Mailing address
165 CAMBRIDGE ST, SUITE 302, BOSTON, MA 02114-2783
(617) 726-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-241414
MA
207RN0300X
Nephrology Physician
Primary
249274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S400205948
MEDICARE PROVIDER
MA
Enumeration date
06/11/2009
Last updated
11/12/2015
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