Individual
DR. JOEL ALVIN REISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11231 POTOMAC CREST DR, POTOMAC, MD 20854-2769
(301) 299-3123
Mailing address
11231 POTOMAC CREST DR, POTOMAC, MD 20854-2769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0009764
MD
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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