Individual
MS. ALLYN A SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
266 HARRISTOWN RD STE 304, GLEN ROCK, NJ 07452-3321
(201) 857-0527
Mailing address
1175 ROOSEVELT AVE., CARTERET, NJ 07008-0536
(732) 541-2233
(732) 541-2234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01137600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00313564
RAILROAD MEDICARE
NJ
Enumeration date
10/03/2006
Last updated
10/20/2020
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