Individual
NIKKI T. SISTRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-0700
(484) 622-0643
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD427876
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD427876
PA
Other
Enumeration date
07/25/2006
Last updated
10/15/2012
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