Individual
MARK RANDOLPH RISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(973) 740-0607
Mailing address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13867
RI
207P00000X
Emergency Medicine Physician
Primary
268189-1
NY
207P00000X
Emergency Medicine Physician
9900332
NC
207Q00000X
Family Medicine Physician
13867
RI
207Q00000X
Family Medicine Physician
268189-1
NY
207Q00000X
Family Medicine Physician
9900332
NC
Other
Enumeration date
05/04/2006
Last updated
04/11/2013
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