Individual
CORINNE LEIGH RIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 ROUTE 73 NORTH, WEST BERLIN, NJ 08091
(844) 542-2273
Mailing address
3 KATHRYN CT, MARLTON, NJ 08053-2347
(856) 495-6770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00554300
NJ
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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