Individual
MERCEDITA QUIROS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 BROADWAY, NEWARK, NJ 07104
(973) 483-6110
(973) 483-6110
Mailing address
75 BEVERLY ROAD, WEST CALDWELL, NJ 07006
(973) 228-6876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA03870900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503905
—
NJ
Enumeration date
04/03/2007
Last updated
07/08/2007
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