Individual
THOMAS AARON RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1025
(617) 665-1803
Mailing address
70 TODD POND RD, LINCOLN, MA 01773-3808
(781) 789-6253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42679
MA
207RC0000X
Cardiovascular Disease Physician
Primary
42679
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145726
—
MA
Enumeration date
04/26/2006
Last updated
02/09/2012
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