# DR. VIVIAN RISMONDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275571622
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D43499 | MD | Yes |
| 2084N0400X | Neurology Physician | D43499 | MD | — |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 10/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 762851000 | — | MD |
| 01 | — | KJ54GB/53000103 | CAREFIRST MARYLAND GBMC | MD |
| 01 | — | S1410003 | CAREFIRST REGIONAL GBMC | MD |