Individual
MARTIN RISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34 LANES MILL RD, BRICK, NJ 08724
(732) 458-0300
(732) 458-8449
Mailing address
34 LANES MILL RD, BRICK, NJ 08724
(732) 458-0300
(732) 458-8449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27464
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538001
—
NJ
Enumeration date
07/31/2006
Last updated
07/08/2007
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