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Individual

MARK S SISKIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
277 PLEASANT ST, STE 305, FALL RIVER, MA 02721-3005
(401) 438-5950
(401) 435-2561
Mailing address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 438-5950
(401) 435-2561

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
53848
MA
207RN0300X
Nephrology Physician
Primary
8373
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000033673
BOSTON MEDICAL
MA
01
004616
BLUE CHIP
RI
01
008373
TUFTS
01
0702100003
CIGNA
01
10137MIR
HARVARD PILGRIM
01
1488
NEIGHBORHOOD
01
3100129
UNITED
05
3110893
MA
01
39004908
RAILROAD MEDICARE
05
6198023
MA
05
7003280
RI
01
782413
AETNA
01
8373
BLUE CROSS
RI
01
J30013
BLUE CROSS
MA
Enumeration date
12/01/2005
Last updated
10/04/2019
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