Individual
DR. SAMUEL RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 WARREN ST, ROXBURY, MA 02119-1833
(617) 442-7400
Mailing address
30 UNION SQ, RANDOLPH, MA 02368-4852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
57247
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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