Dr MARCUS RICHARD RIVERA is a male medical professional, specializing in Gastroenterology. He graduated in 2001 from Umdnj-new Jersey Medical School.
PEDIATRIC SERVICE GROUP
750 E ADAMS ST
SYRACUSE
NY
132102306
Tel: 3154645450
| Npi | 1891993218 |
| Pac Id | 9830290402 |
| Professional Enrollment Id | I20100628000185 |
| Last Name | RIVERA |
| First Name | MARCUS |
| Middle Name | RICHARD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | PEDIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PEDIATRIC MEDICINE |
| Organization Legal Name | PEDIATRIC SERVICE GROUP |
| Group Practice Pac Id | 9931007200 |
| Number Of Group Practice Members | 16 |
| Line 1 Street Address | 750 E ADAMS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SYRACUSE |
| State | NY |
| Zip Code | 132102306 |
| Phone Number | 3154645450 |
| Hospital Affiliation Ccn 1 | 330241 |
| Hospital Affiliation Lbn 1 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Ccn 4 | |
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| Professional Accepts Medicare Assignment | Y |
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