| Riva Medical, LLC | |
|
3169 Braverton St Suite 102 Edgewater MD 21037-2679 | |
| (410) 956-9566 | |
| (443) 716-2595 |
| Full Name | Riva Medical, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3169 Braverton St, Edgewater, Maryland |
| Authorized Official Name and Position | Whay Han Jones (OWNER) |
| Authorized Official Contact | 4109569566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riva Medical, LLC 3169 Braverton St Suite 102 Edgewater MD 21037-2679 Ph: (410) 956-9566 | Riva Medical, LLC 3169 Braverton St Suite 102 Edgewater MD 21037-2679 Ph: (410) 956-9566 |
| NPI Number | 1780744318 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780744318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D40733 (Maryland) | Primary |
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