Organization
ROMMEL RIVERA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMMEL RIVERA M.D. (OWNER)
(610) 892-0565
Entity
Organization
Contact information
Practice address
110 S 20TH ST, SUITE 206, PHILADELPHIA, PA 19103-4486
(610) 892-0565
Mailing address
2084 N RIDLEY CREEK RD, MEDIA, PA 19063-4531
(610) 892-0565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD060112L
PA
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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