Organization
FRANK & GRACE, INC.
Active
Other names
Sisom Osia, M.D./ Gateway Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SISOM OSIA M.D. (PRESIDENT)
(301) 599-7010
Entity
Organization
Contact information
Practice address
9628 MARLBORO PIKE, UPPER MARLBORO, MD 20772
(301) 599-7010
(301) 599-1222
Mailing address
PO BOX 2070, UPPER MARLBORO, MD 20773-2070
(301) 599-7010
(301) 599-1222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0048158
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051701101
—
MD
Enumeration date
05/28/2006
Last updated
03/08/2010
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