Individual
DR. ROGER ALBERTO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 HARRISON AVE, HARRISON, NJ 07029-1328
(862) 249-1288
Mailing address
215 HARRISON AVE, HARRISON, NJ 07029-1328
(862) 249-1288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08877900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2008
Last updated
07/08/2020
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