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Benjamin Douglas Sisco, DO
Student in an Organized Health Care Education/Training Program in Harrisburg, Pennsylvania
NPI 1225779259

Benjamin Douglas Sisco is a Student in an Organized Health Care Education/Training Program based in Pittsburgh, PA. Benjamin Douglas Sisco practices in Harrisburg, PA and has the professional credentials of DO. The NPI Number for Benjamin Douglas Sisco is 1225779259 and holds a License No. (Pennsylvania).

The current practice location address for Benjamin Douglas Sisco is 205 S Front St # 916, Harrisburg, PA and can be reached out via phone at 717-231-8755.

Location: 205 S Front St # 916, Harrisburg, PA, 15213-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225779259
Provider Name
Benjamin Douglas Sisco
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
205 S Front St # 916, Harrisburg, PA, 15213-3410
Phone Number
717-231-8755
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 S Front St # 916
City
Harrisburg
State
Pennsylvania
Zip
17104-1619
Phone Number
717-231-8755
Fax Number
person
Provider Business Mailing Address Details
Address
205 S Front St # 916
City
Harrisburg
State
Pennsylvania
Zip
17104-1619
Phone Number
717-231-8755
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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