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Organization

DR. ERNESTO RIVERA MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON D WHITTY (OFFICE MANAGER)
(410) 682-4775
Entity
Organization

Contact information

Practice address
1232 RACE RD, SUITE 301, BALTIMORE, MD 21237-2351
(410) 682-4775
(410) 682-5063
Mailing address
1232 RACE RD, SUITE 301, BALTIMORE, MD 21237-2351
(410) 682-4775
(410) 682-5063

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D18557
MD

Other

Enumeration date
08/20/2007
Last updated
10/10/2007
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