Individual
MATTHEW R SISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 507-9180
Mailing address
9910 FRANKLIN SQUARE DRIVE, 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06321
MD
Other
Enumeration date
12/02/2016
Last updated
08/08/2017
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