Provider Demographics
NPI:1346232204
Name:SISON, ANTONIO V (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:V
Last Name:SISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-6899
Mailing Address - Fax:609-631-6898
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-631-6899
Practice Address - Fax:609-631-6898
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA58804207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1276702005OtherCIGNA HEALTHCARE
NJ1578769OtherFIRST HEALTH
NJ7368500Medicaid
NJP742465OtherOXFORD HEALTHPLANS
NJ2141286OtherUNITED HEALTHCARE
NJ31573OtherUNIVERSITY HEALTHPLANS
NJ01000644500OtherAMERICHOICE
NJ2079775000OtherAMERIHEALTH
NJ0813241OtherAETNA USHC
NJ0K8533OtherHEALTHNET
NJ203269OtherUS FAMILY HEALTHPLANS
NJ1055730OtherHORIZON NJ HEALTH
NJ33253OtherAMERIGROUP
NJ333785OtherONE HEALTHPLAN
NJ0813241OtherAETNA USHC
NJ203269OtherUS FAMILY HEALTHPLANS