JOHN E. RIVERA, M.D., P.C.
Marriage and Family Therapists in Milldale, CT

License number
Connecticut 026829
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JOHN EDWIN RIVERA M.D.
Title: DIRECTOR
Phone: (860) 621-5554
Address
Address
1753 Meriden-Waterbury Rd, Milldale, CT 06467
National Provider ID: 1154387264
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, M.D., PC

Milldale, CT

Status:
Inactive
Registration:
Dec 2, 1987
Addresses:
1753 Meriden-Waterbury Tpke, Milldale, CT 06467 (Physical)
PO Box 770, Milldale, CT 06467 (Mailing)
State ID:
0209839
Business type:
Stock
Presidents:
John Edwin Rivera (President), 1753 Meriden-Waterbury Tpke, Milldale, CT 06467 (Mailing)
1591 Meriden Ave, Centerbrook, CT 06409 (Physical),Wendy Lee Rivera  Vice (President), 1753 Meriden-Waterbury Tpke, Milldale, CT 06467 (Mailing)
1591 Meriden Ave, Southington, CT 06489 (Physical)
Agent:
John E. Rivera,1668 Meridenwaterburytpk, Milldale, CT 06467 (Mailing)
15 E Mtn Dr, Southington, CT 06489 (Physical)

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