Individual
PAUL ROBERT RIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5104
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260
(410) 847-3770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2084P0800X
MD
2084P0800X
Psychiatry Physician
Primary
D50393
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006303700
—
MD
Enumeration date
06/27/2006
Last updated
12/03/2009
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