Individual
MARK C RIVINUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
50 W MAIN ST, HOPKINTON, MA 01748-1672
(508) 530-3140
(603) 893-8886
Mailing address
50 WEST MAIN ST, HOPKINGTON, MA 01748
(508) 530-3140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN148420
MA
367500000X
Certified Registered Nurse Anesthetist
RN148420
MA
Other
Enumeration date
12/08/2011
Last updated
05/10/2026
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