Individual
RANDALL J RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
277 MIDDLE TPKE W, MANCHESTER, CT 06040
(860) 432-4640
Mailing address
1111 CROMWELL AVE STE 403, ROCKY HILL, CT 06067-3454
(860) 525-4469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
49814
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002536
—
RI
Enumeration date
04/13/2006
Last updated
06/28/2023
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