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NPI Profile for MARISA RIVERSO in GLEN MILLS, PA.
A pediatrician who has special qualifications to manage emergencies in infants and children.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
2080P0204X | 37 | Physician/Pediatric Medicine | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1972922664 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/10/2014 | |
| Last updated | 05/06/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARISA RIVERSO
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MARISA RIVERSO, MD