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Individual

ACHILLINA RIANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 TRANTON ROAD, BROWNS MILLS, NJ 08015
(609) 893-6611
Mailing address
200 TRANTON ROAD, BROWNS MILLS, NJ 08015
(609) 893-6611

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10545400
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0705403
NJ
Enumeration date
07/03/2014
Last updated
04/27/2021
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