Organization
RIVERSIDE DIABETES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGEBORG JACKS-CURTIS (MANAGER)
(301) 873-3313
Entity
Organization
Contact information
Practice address
6510 KENILWORTH AVE STE 1200, RIVERDALE, MD 20737-1339
(301) 927-7750
(240) 582-7411
Mailing address
6510 KENILWORTH AVE STE 1200, RIVERDALE, MD 20737-1339
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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