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Organization

CARLOS G RIVERA M.D., PC

Active
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Organization

CARLOS G RIVERA M.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN SWOOPE (MANAGER)
(732) 977-4946
Entity
Organization

Contact information

Practice address
9 MEMORIAL PKWY, LONG BRANCH, NJ 07740-6701
(732) 728-7010
Mailing address
9 MEMORIAL PKWY, LONG BRANCH, NJ 07740-6701
(732) 728-7010

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
25MA06184200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6635008
NJ
Enumeration date
05/20/2013
Last updated
05/20/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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