Individual
DR. ALFREDO S SISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 N ROBINSON ST STE 200, RICHMOND, VA 23220-4460
(804) 379-2000
(804) 594-7203
Mailing address
2601 RADNOR PL, MIDLOTHIAN, VA 23113-6496
(804) 379-2000
(804) 594-7203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101058391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118318
BCBS
VA
Enumeration date
08/29/2006
Last updated
07/08/2007
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