Individual
MARCOS ELI RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5100
Mailing address
290 MISHAWUM RD UNIT 4047, WOBURN, MA 01801-2275
(787) 478-5786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2390102
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2390102
MA
Other
Enumeration date
05/08/2025
Last updated
07/21/2025
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