Individual
RALPH RIVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 N 15TH ST, MS 1011, PHILADELPHIA, PA 19102-1101
(215) 762-2574
(215) 762-1807
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD059937L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001578702
—
PA
05
—
8811105
—
NJ
Enumeration date
07/13/2006
Last updated
05/13/2016
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