COLLEEN SISSON

ON SITE DERMATOLOGY OF NEW JERSEY LLC

Dr COLLEEN SISSON is a female medical professional, specializing in Physician Assistant. She graduated in 2013.

Contact

ON SITE DERMATOLOGY OF NEW JERSEY LLC

2021 HWY 35
WALL TOWNSHIP
NJ
077193539

Tel: 8773455300

COLLEEN SISSON Information

Npi 1740620343
Pac Id 1951544121
Professional Enrollment Id I20130909000198
Last Name SISSON
First Name COLLEEN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ON SITE DERMATOLOGY OF NEW JERSEY LLC
Group Practice Pac Id 1951616697
Number Of Group Practice Members 5
Line 1 Street Address 2021 HWY 35
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALL TOWNSHIP
State NJ
Zip Code 077193539
Phone Number 8773455300
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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