person
Raymond Manuel Rivera Vergara
General Practice Physician in Philadelphia, Pennsylvania
NPI 1851761555

Raymond Manuel Rivera Vergara is a General Practice Physician based in Philadelphia, PA. Raymond Manuel Rivera Vergara practices in Philadelphia, PA. The NPI Number for Raymond Manuel Rivera Vergara is 1851761555 and holds a License No. MD478007 (Pennsylvania).

The current practice location address for Raymond Manuel Rivera Vergara is 4720 Pine St Apt C3, Philadelphia, PA and can be reached out via phone at 267-595-1655 and via fax at 302-233-7475.

Location: 4720 Pine St Apt C3, Philadelphia, PA, 19143-1840
person
Provider Profile Details
NPI Number
1851761555
Provider Name
Raymond Manuel Rivera Vergara
Credential
Provider Entity Type
Individual
Gender
Male
Address
4720 Pine St Apt C3, Philadelphia, PA, 19143-1840
Phone Number
267-595-1655
Fax Number
302-233-7475
Provider Enumeration Date
10/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4720 Pine St Apt C3
City
State
Zip
19143-1840
Phone Number
267-595-1655
Fax Number
302-233-7475
person
Provider Business Mailing Address Details
Address
4720 Pine St Apt C3
City
State
Zip
19143-1840
Phone Number
267-595-1655
Fax Number
302-233-7475
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD478007 (Pennsylvania)
Definition
Definition to come...
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