Organization
JOHN E. RIVERA, M.D., P.C.
Active
Other names
Southington Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWIN RIVERA M.D. (DIRECTOR)
(860) 621-5554
Entity
Organization
Contact information
Practice address
1753 MERIDEN-WATERBURY RD, MILLDALE, CT 06467-0770
(860) 621-5554
(860) 621-3833
Mailing address
1753 MERIDEN-WATERBURY RD, MILLDALE, CT 06467-0770
(860) 621-5554
(860) 621-3833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026829
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026829
LIC-JOHN E. RIVERA, M.D.
CT
01
—
042567
LIC-JOHN E. RIVERA, JR MD
CT
Enumeration date
04/26/2006
Last updated
08/22/2020
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