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Individual

DR. SISOM OSIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9628 MARLBORO PIKE, UPPER MARLBORO, MD 20772
(301) 599-7010
(301) 599-1222
Mailing address
PO BOX 2070, UPPER MARLBORO, MD 20773-2070
(301) 599-7010
(301) 599-1222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0048158
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051701101
MD
Enumeration date
04/03/2007
Last updated
03/08/2010
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