Whalio Doctors

NPI 1730106196

Riverside Family Practice, PC

Organisation Sports Medicine (Family Medicine) Physician Teaneck, NJ

Practice location

Address
718 Teaneck Rd, Teaneck, NJ 07666-4245
Phone
(201) 833-3909
Fax
(201) 833-7073

Authorised official

Name
Adam Jarrett
Title
Cmo, M.D.
Phone
(201) 833-3000

Registered specialties (3)

Sports Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 25MA06291500 (NJ)
Specialist
Other Service Providers Taxonomy 174400000X Licence 25MA05312800 (NJ)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25MA03273300 (NJ)

Registry record

NPI
1730106196
Entity type
Organization
NPI issued
15 Jul 2006
Record last updated
1 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.