Risko, Wanessa P

Risko, Wanessa P is an sole proprietor health care provider with primary practice located at 32 Union St , Newton Centre MA 02459-2057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Risko, Wanessa P can be contacted via phone (617) 564-0123.

Contact Information

Primary practice address
32 Union St Newton Centre MA 02459-2057
Fax: (617) 467-5318
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 78884 Massachusetts

Profile Details

NPI number 1598858722
LBN Legal business name Risko, Wanessa P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598858722 NPPES
Massachusetts MEDICAID 3120730

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