Individual
MR. BENNY RIVIELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 RTE 37 W, SUITE 101, TOMS RIVER, NJ 08755-8050
(732) 240-4545
(732) 505-3257
Mailing address
PO BOX 289, TOMS RIVER, NJ 08754-0289
(732) 240-4545
(732) 505-3257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB01786200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115201
—
NJ
Enumeration date
02/10/2006
Last updated
07/11/2007
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