Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 25MA06603200 | NJ |
NPI | 1235120213 |
---|---|
Provider Name | Dr. Velmina S Rivera |
First Address | Camden, NJ 08102-1122 |
Second Address | Camden, NJ 08102-1122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 25/10/2016 |