Provider Demographics
NPI:1326050147
Name:SISON-ALIDIO, ROSALINDA (MD)
Entity Type:Individual
Prefix:
First Name:ROSALINDA
Middle Name:
Last Name:SISON-ALIDIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 YORK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3001
Mailing Address - Country:US
Mailing Address - Phone:410-435-4308
Mailing Address - Fax:410-323-6353
Practice Address - Street 1:6010 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3001
Practice Address - Country:US
Practice Address - Phone:410-435-4308
Practice Address - Fax:410-323-6353
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014988207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology