Individual
DR. EDWARD PHILIP RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(617) 818-3123
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(617) 818-3123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
215864
MA
Other
Enumeration date
10/05/2006
Last updated
12/13/2007
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