Individual
BETSY A SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
464 GRANITE AVENUE, EAST MILTON PEDIATRIC ASSOC INC, MILTON, MA 02186-5625
(617) 696-5900
(617) 696-0363
Mailing address
464 GRANITE AVENUE, EAST MILTON PEDIATRIC ASSOC INC, MILTON, MA 02186-5625
(617) 696-5900
(617) 696-0363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78846
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9717269
—
MA
Enumeration date
07/18/2006
Last updated
07/08/2007
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