Individual
MR. JAMAL GARY SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13324 BURLEIGH ST, UPPER MARLBORO, MD 20774-1961
(202) 839-1645
Mailing address
13324 BURLEIGH ST, UPPER MARLBORO, MD 20774-1961
(202) 839-1645
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
06/30/2023
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