Individual
ADALIZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
443 SHORE ROAD, 2ND FLOOR, STE 201, SOMERS POINT, NJ 08244
(609) 407-7747
Mailing address
1401 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7001
(609) 572-8686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA08383800
NJ
208D00000X
General Practice Physician
MT-186936
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004664200
AMERICHOICE
NJ
05
—
0169765
—
NJ
01
—
60041545
HORIZON NJ HEALTH
NJ
01
—
6677002
CIGNA
NJ
01
—
9735178
AETNA
NJ
01
—
P3922128
OXFORD
—
Enumeration date
05/17/2007
Last updated
03/02/2021
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