Individual
RIAD F RISKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
50519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050519
TUFTS
MA
05
—
3000320
—
MA
01
—
AA68162
HARVARD PILGRIM
MA
01
—
J04288
BLUE SHIELD
MA
Enumeration date
04/27/2006
Last updated
10/30/2007
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