JOHN E. RIVERA JR., M.D., LLC
Marriage and Family Therapists in Milldale, CT

License number
Connecticut 042567
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JOHN EDWIN RIVERA JR. M.D.
Title: OWNER
Phone: (860) 621-5554
Address
Address
1753 Meriden-Waterbury Tpke, Milldale, CT 06467
National Provider ID: 1902146996
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN E. RIVERA JR., M.D., LLC

Southington Family Medical Ctr, Milldale, CT 06467

Registration:
Jan 31, 2013
State ID:
1096773
Business type:
Domestic Limited Liability Company
MEMBER:
John E. Rivera Jr (MEMBER), 1753 Meriden-Waterbury Tpke, Middletown, CT 06457 (Mailing)
30 Sedgwick Rd, West Hartford, CT (Physical)
Agent:
Gabriela L. Rivera,1753 Meriden-Waterbury Tpke, Middletown, CT 06457 (Mailing)
30 Sedgwick Rd, West Hartford, CT 06107 (Physical)

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