| Riverside Medical Group Pc | |
|
725 River Rd Suite 106 Edgewater NJ 07020-1171 | |
| (201) 943-2273 | |
| Not Available |
| Full Name | Riverside Medical Group Pc |
|---|---|
| Speciality | General Practice |
| Location | 725 River Rd, Edgewater, New Jersey |
| Authorized Official Name and Position | Mario Miglietta (PRESIDENT) |
| Authorized Official Contact | 2014611843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Medical Group Pc 100 Winston Dr 15c-south Cliffside Park NJ 07010-3240 Ph: (201) 969-8693 | Riverside Medical Group Pc 725 River Rd Suite 106 Edgewater NJ 07020-1171 Ph: (201) 943-2273 |
| NPI Number | 1558555888 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558555888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MB06920900 (New Jersey) | Primary |
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