Organization
RIVERSIDE NEPHROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO S HADDAD MD (PRESIDENT)
(978) 686-4343
Entity
Organization
Contact information
Practice address
575 TURNPIKE ST STE 17, NORTH ANDOVER, MA 01845-5937
(978) 686-4343
(978) 682-5191
Mailing address
35 UNITED DRIVE, SUITE 102, WEST BRIDGEWATER, MA 02379-1027
(508) 238-8646
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805418
TUFTS
MA
05
—
9783512
—
MA
01
—
M16918
BLUE CROSS
MA
Enumeration date
10/04/2006
Last updated
12/22/2020
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