Organization
IMPAR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN RIVERA MD (PRESIDENT)
(914) 715-2171
Entity
Organization
Contact information
Practice address
178 WESTERLY RD, PLYMOUTH, MA 02360-4535
(914) 715-2171
(774) 283-9874
Mailing address
178 WESTERLY RD, PLYMOUTH, MA 02360-4535
(914) 715-2171
(774) 283-9874
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
234628
MA
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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