Organization
MANUEL A. RIVAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON TOLENO (OFFICE MANAGER)
(609) 588-5656
Entity
Organization
Contact information
Practice address
2081 KLOCKNER RD, HAMILTON, NJ 08690-3415
(609) 588-5656
(609) 588-9563
Mailing address
2081 KLOCKNER RD, HAMILTON, NJ 08690-3415
(609) 588-5656
(609) 588-9563
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA02827200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21910101
—
NJ
Enumeration date
07/11/2008
Last updated
04/15/2010
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