Individual
DR. SEETHA MANEYAPANDA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 HARRISON AVE, HARRISON, NJ 07029-1328
(862) 955-3183
(862) 955-1389
Mailing address
215 HARRISON AVE, HARRISON, NJ 07029-1328
(862) 955-3183
(862) 955-3189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09048800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362921
—
NJ
Enumeration date
10/28/2011
Last updated
01/06/2016
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