Individual
PETER N RISKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF NEUROLOGY, WORCESTER, MA 01655-0002
(508) 793-6555
(774) 442-9122
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
51515
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004651
—
MA
Enumeration date
12/07/2005
Last updated
03/11/2016
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