Individual
DR. MICHAEL J RIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-6388
(617) 730-0284
Mailing address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-6388
(617) 730-0284
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
74842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3109925
—
MA
Enumeration date
07/13/2006
Last updated
08/24/2007
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