NPI 1447696216

Carlos G Rivera M.D., PC

Organisation Exclusive Provider Organization Long Branch, NJ

Practice location

Address: 9 Memorial Pkwy, Long Branch, NJ 07740-6701
Phone: (732) 728-7010

Authorised official

Name: Susan Swoope
Title: Manager
Phone: (732) 977-4946

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 25MA06184200 (NJ)

Other Exclusive Provider Organization providers in New Jersey →

Registry record

NPI: 1447696216
Entity type: Organization
NPI issued: 20 May 2013
Record last updated: 20 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.