Individual
DR. DAVID RISSMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Mailing address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MB043232
NJ
2084P0805X
Geriatric Psychiatry Physician
MB043232
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0896957000
AMERIHEALTH
NJ
01
—
2013624
CIGNA BH
NJ
05
—
2350009
—
NJ
01
—
5420011
AETNA
NJ
Enumeration date
02/08/2006
Last updated
05/04/2016
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