Individual
DR. JOSE RIVERA TUNGOL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 ACADEMY ST, STE 5, PRESQUE ISLE, ME 04769
(207) 764-0175
(207) 764-7157
Mailing address
181 ACADEMY ST, STE 5, PRESQUE ISLE, ME 04769
(207) 764-0175
(207) 764-7157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010870
ME
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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