Organization
DR INNA RIVA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA RIVA DO (PHYSICIAN)
(408) 981-7358
Entity
Organization
Contact information
Practice address
206 WASHINGTON ST STE A, JERSEY CITY, NJ 07302-4557
(408) 981-7358
Mailing address
206 WASHINGTON ST STE A, JERSEY CITY, NJ 07302-4557
(408) 981-7358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013327345
NPI
NJ
Enumeration date
06/20/2018
Last updated
07/09/2020
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