Individual
DR. RICHARD A. STISO
Active
Individual
DR. RICHARD A. STISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00134300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103700000
AMERIHEALTH
NJ
01
—
0885115
CIGNA
NJ
05
—
5333300
—
NJ
01
—
561794
AETNA
NJ
01
—
593175
UNITEDHEALTHCARE
NJ
01
—
MC01343
LANDMARK
NJ
01
—
P421418
OXFORD
NJ
01
—
X40481
WELL CHOICE
NJ
Enumeration date
08/01/2005
Last updated
09/22/2011
Update your record
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