Organization
RISAM AND RISAM, P.C.
Active
Parent organization
RISAM AND RISAM P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RISAM AND RISAM P.C.
Authorized official
MS. JOY MASCETTI (OFFICE MANAGER)
(301) 249-4090
Entity
Organization
Contact information
Practice address
3060 MITCHELLVILLE RD, SUITE 210, BOWIE, MD 20716-1389
(301) 249-4090
(301) 390-1344
Mailing address
3060 MITCHELLVILLE RD, SUITE 210, BOWIE, MD 20716-1389
(301) 249-4090
(301) 390-1344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0032769
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
D0032735
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KN97RI
BCBS MD GROUP NUMBER
MD
Enumeration date
08/17/2006
Last updated
03/09/2011
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