Individual
ERIC SEAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED DISPENSER
Contact information
Practice address
2555 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-6113
(215) 947-2606
Mailing address
2555 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-6113
(215) 947-2606
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F30549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03549
PA DEPT OF HEALTH
PA
05
—
F03549
—
PA
Enumeration date
07/31/2019
Last updated
07/31/2019
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