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EDUARDO G RIVERA M.D.

Surgery Yellow Pages

Madison, Indiana

Provider NPI: 1457428096

Provider Information:
 EDUARDO G RIVERA M.D.


Practice Location:
122 DEMAREE DR  MADISON, IN 47250 US
Tel: 812-265-9191  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ND0101XPhysicians
Dermatology
MOHS-Micrographic Surgery
IN01050279

Other Provider Identifiers:

IssuerNumberStateType
IN HEALTH NETWORK ID20897IN01
COLUMBUS SIHO ID065504IN01
50007573KY05
ANTHEM BCBS IN PROV NUMB000000368119IN01
AETNA PROVIDER NUMBER7514003IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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