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NPI Code Detail

MEDICARE: VERONICA GONZALEZ-RIVERA MD

MEDICARE: VERONICA GONZALEZ-RIVERA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician25MA08727700NJ

General Provider Information

NPI Number : 1578722740
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA GONZALEZ-RIVERA MD
Provider Business Mailing Address
First Line : 53 S LAUREL ST
Second Line :
City : BRIDGETON
State : NJ
Zip : 08302-1946
Country : US
Telephone Number : 856-451-4700
Fax Number : 856-794-7183
Provider Business Practice Location Address
First Line : 3700 NEW JERSEY AVE
Second Line :
City : WILDWOOD
State : NJ
Zip : 08260-6154
Country : US
Telephone Number : 856-451-4700
Fax Number : 856-794-7183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 10/24/2013

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