Individual
DR. MARK G RISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 WASHINGTON BLVD, SUITE A, ROBBINSVILLE, NJ 08691-3162
(609) 448-4353
Mailing address
1 WASHINGTON BLVD, SUITE A, ROBBINSVILLE, NJ 08691-3162
(609) 448-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MBO55355
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5232902
—
NJ
Enumeration date
07/22/2006
Last updated
07/08/2007
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