Individual
IVIA RIVERA AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8630
Mailing address
41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8630
(781) 744-5581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260821
MA
2084N0400X
Neurology Physician
260821
MA
2084N0400X
Neurology Physician
274460
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
274460
MA
Other
Enumeration date
04/01/2014
Last updated
12/20/2019
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