Rivera, Tara
Rivera, Tara is an individual health care provider with primary practice located at 3626 Route 1 N , Princeton NJ 08540-5922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rivera, Tara can be contacted via phone (609) 243-0445.Contact Information
Primary practice address
3626 Route 1 N
Princeton NJ 08540-5922
Phone: (609) 243-0445
Fax: (609) 452-7577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB07195500 | New Jersey |
Profile Details
| NPI number | 1083669618 |
|---|---|
| LBN Legal business name | Rivera, Tara |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083669618 | NPPES |
| New Jersey | MEDICAID | 8291201 |
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