Provider Demographics
NPI:1306016035
Name:MAURICE A SISLEN GILBERT M EISNER RICHARD M KAUFMAN JAMES N RAMEY MORT
Entity type:Organization
Organization Name:MAURICE A SISLEN GILBERT M EISNER RICHARD M KAUFMAN JAMES N RAMEY MORT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-296-0670
Mailing Address - Street 1:1120 19TH STREET NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-296-0670
Mailing Address - Fax:202-331-8924
Practice Address - Street 1:1120 19TH STREET NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-296-0670
Practice Address - Fax:202-331-8924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00241Medicare PIN