Individual
DR. EDWARD RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218A SUNSET RD, WILLINGBORO, NJ 08046-1110
(609) 835-3056
(609) 835-3061
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249580
NY
207R00000X
Internal Medicine Physician
25MA08177400
NJ
208M00000X
Hospitalist Physician
Primary
25MA08177400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155578
—
NJ
05
—
03014326
—
NY
01
—
P01069999
RAILROAD MEDICARE
NJ
Enumeration date
05/10/2007
Last updated
11/10/2020
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