Individual
MICHAEL JOSEPH LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM-2 WEST, PHILADELPHIA, PA 19104-5127
(215) 615-7239
Mailing address
3400 CIVIC CENTER BLVD, PCAM-2 WEST, PHILADELPHIA, PA 19104-5127
(215) 615-7239
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD471427
PA
Other
Enumeration date
04/01/2015
Last updated
09/08/2021
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