Organization
RIVA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHAY HAN JONES MD (OWNER)
(410) 956-9566
Entity
Organization
Contact information
Practice address
3169 BRAVERTON ST, SUITE 102, EDGEWATER, MD 21037-2679
(410) 956-9566
(443) 716-2595
Mailing address
3169 BRAVERTON ST, SUITE 102, EDGEWATER, MD 21037-2679
(410) 956-9566
(443) 716-2595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D40733
MD
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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