Individual
DAVID ANDREW RISEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 ST PAUL PLACE, 4TH FLOOR, BALTIMORE, MD 21202-2001
(410) 783-5858
(410) 783-5864
Mailing address
227 ST PAUL PLACE, 4TH FLOOR, BALTIMORE, MD 21202-2001
(410) 783-5858
(410) 783-5864
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D40854
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52343402
CAREFIRST MD
—
01
—
776075
AETNA
—
01
—
R8440002
CAREFIRST DC
—
Enumeration date
08/20/2006
Last updated
07/08/2007
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