Individual
TIMOTHY M RIVINUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 HARRISON AVE, DOWLING 1N, BOSTON, MA 02118-4001
(617) 414-2012
(617) 414-2101
Mailing address
850 HARRISON AVE, DOWLING 1N, BOSTON, MA 02118-4001
(617) 414-2012
(617) 414-2101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA35910
MA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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