Individual
DR. WENDY RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
532 E BROAD ST, WESTFIELD, NJ 07090-4204
(908) 232-3445
Mailing address
532 E BROAD ST, WESTFIELD, NJ 07090-2116
(908) 232-3445
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA06855200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7872003
—
NJ
Enumeration date
06/21/2006
Last updated
08/23/2007
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