Individual
MR. EDWARD RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
458 GRAND AVE., SUITE 103, NEW HAVEN, CT 06513
(203) 752-1212
Mailing address
305 FOX HILL RD, STRATFORD, CT 06614-1812
(203) 727-0252
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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