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Individual

DAWN SISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8872
(908) 673-7382
Mailing address
PO BOX 188, LITTLE SILVER, NJ 07739-0188
(732) 264-1127
(732) 264-0670

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00239900
NJ
367500000X
Certified Registered Nurse Anesthetist
26NO11580200
NJ

Other

Enumeration date
07/06/2006
Last updated
05/09/2018
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