Organization
RIVERVIEW MEDICAL CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY SMITH (OWNER)
(973) 241-5856
Entity
Organization
Contact information
Practice address
145 PRESIDENTIAL BLVD STE 100, PATERSON, NJ 07522-2173
(973) 241-5856
(973) 370-4040
Mailing address
1767 MORRIS AVE FL 3, UNION, NJ 07083-3532
(908) 875-5200
(973) 370-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
09/19/2022
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