Individual
DR. JUAN DOMINGO GARISTO RISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # Q10-1, CLEVELAND, OH 44195-0001
(216) 956-4974
Mailing address
1400 VFW PKWY, BOSTON, MA 02132-4927
(617) 323-7700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
326443
NY
208800000X
Urology Physician
35.137219
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2017
Last updated
11/29/2023
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