Individual
DR. IAN A RIVERA-COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
234628
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084243A
—
MA
Enumeration date
05/14/2007
Last updated
09/07/2022
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