| Riverside Preventative Health Llc | |
|
1 Journal Square Plz Ste 303 Jersey City NJ 07306-4004 | |
| (914) 376-6100 | |
| (914) 231-6872 |
| Full Name | Riverside Preventative Health Llc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 1 Journal Square Plz Ste 303, Jersey City, New Jersey |
| Authorized Official Name and Position | Melissa Nieli (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9143766100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Preventative Health Llc 1 Journal Square Plz Ste 303 Jersey City NJ 07306-4004 Ph: (914) 376-6100 | Riverside Preventative Health Llc 1 Journal Square Plz Ste 303 Jersey City NJ 07306-4004 Ph: (914) 376-6100 |
| NPI Number | 1750895900 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750895900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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