Individual
BRADLEY JAMES RIVOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N 17TH ST STE 300, ALLENTOWN, PA 18104-5052
(610) 969-3500
Mailing address
400 N 17TH ST STE 300, ALLENTOWN, PA 18104-5052
(610) 969-3500
(610) 969-3605
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OT021640
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2022
Last updated
06/10/2025
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