Individual
SAMANTHA RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SUITE 6B, SHAPIRO BLDG., BOSTON, MA 02118
(617) 414-8054
(617) 414-8055
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1020656
MA
208C00000X
Colon & Rectal Surgery Physician
1020656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110202679A
—
MA
05
—
3146581
—
NH
Enumeration date
06/13/2016
Last updated
02/20/2026
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