Individual
RAYMUND VINCENT SEBASTIAN SISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 CENTRAL AVE, DEPARTMENT OF MEDICAL EDUCATION, NEWARK, NJ 07102-1909
(201) 920-9948
Mailing address
2002 5TH AVE, APARTMENT 5A, NEW YORK, NY 10035-1836
(201) 920-9948
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA09122500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
03/16/2015
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