Individual
DR. DAN J SISKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD BS MPH
Contact information
Practice address
3313 WASHINGTON ST, SUITE 1 PACT, JAMAICA PLAIN, MA 02130
(617) 971-9400
(617) 971-9670
Mailing address
3313 WASHINGTON ST, SUITE 1 PACT, JAMAICA PLAIN, MA 02130
(617) 971-9400
(617) 971-9670
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
223353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115174
—
MA
01
—
MS0586276A
MA CONTROLLED SUBSTANCE
—
Enumeration date
06/01/2006
Last updated
03/07/2023
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