Individual
ROGER ANTONIO RIVERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 ABBOTT BLVD, FORT LEE, NJ 07024-4151
(201) 224-3200
(201) 224-4045
Mailing address
870 PALISADE AVE, STE 204, TEANECK, NJ 07666-3419
(201) 928-1093
(201) 928-0842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06723600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7727704
—
NJ
Enumeration date
08/09/2005
Last updated
07/08/2007
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