Individual
DR. RICHARD A. STISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
81 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-2004
(973) 822-1317
Mailing address
81 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-2004
(973) 822-1317
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
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