Individual
GERALD JOHN RIFFELMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MAIN ST, SUITE 202, MEDFORD, MA 02155-4540
(781) 395-7638
(781) 395-2915
Mailing address
101 MAIN ST, SUITE 202, MEDFORD, MA 02155-4540
(781) 395-7638
(781) 395-2915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066602
—
MA
01
—
3357
HARVARD PILGRIM HEALTHCAR
MA
01
—
701485
TUFTS HEALTH PLAN
MA
Enumeration date
07/27/2005
Last updated
05/02/2012
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