Doctor Name: | TAMEKA SISCO |
NPI Number: | 1265669402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | OS017024 |
Business Practice Address: | 2100 Keystone Ave Suite 707 Drexel Hill, PA - 190261129 |
Business Phone Number: | 6106267070 |
Business Fax Number: | 6106269887 |
Mailing Address: | 2100 Keystone Ave, Suite 707 DREXEL HILL |
State: | PA |
Postal Code: | 190261129 |
Phone Number: | 6106267070 |
Fax Number: | 6106269887 |
NPI Enumeration Date: | 06/15/2009 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | OS017024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |