Organization
JOHN E. RIVERA JR., M.D., LLC
Active
Other names
Southington Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWIN RIVERA JR. M.D. (OWNER)
(860) 621-5554
Entity
Organization
Contact information
Practice address
1753 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT 06467
(860) 621-5554
(860) 621-3833
Mailing address
PO BOX 770, MILLDALE, CT 06467-0770
(860) 621-5554
(860) 621-3833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042567
CT
Other
Enumeration date
02/27/2013
Last updated
05/02/2013
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