Organization
RIVERFRONT PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M GRAVES (ADMINISTRATOR)
(302) 540-9187
Entity
Organization
Contact information
Practice address
131 S WEST ST, WILMINGTON, DE 19801-5014
(302) 777-9355
Mailing address
PO BOX 3817, WILMINGTON, DE 19807-0817
(302) 540-9187
(302) 777-0944
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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