Individual
PAUL J SISBARRO
Active
Individual
PAUL J SISBARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0S005165L
PA
208800000X
Urology Physician
AS2305236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001124432
—
PA
Enumeration date
04/25/2006
Last updated
02/11/2021
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