RIVERSIDE INTERNAL MEDICINE NPI 1134303977

NPI Information

RIVERSIDE INTERNAL MEDICINE is a specialist in Riverside, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RIVERSIDE INTERNAL MEDICINE NPI is 1134303977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 E PUTNAM AVE
RIVERSIDE, CT
ZIP 06878-430
Phone: (203) 637-0057
Fax: (203) 637-3280

The provider's authorized official is Neil N Boside .
The authorized official title is President and has the following contact phone number (203) 637-0057.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 1/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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