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1023616307
MANUEL RIVERA
HARTFORD, CT
NPI
1023616307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 5467)
Enumeration Date
2020-10-09
Last Update Date
2021-12-23
Business Address
Mr. MANUEL RIVERA PA-C
21 GRAND ST
HARTFORD, CT 06106-1541
Phone number: 860-550-7500
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Mailing Address
Mr. MANUEL RIVERA PA-C
60 4TH ST
MERIDEN, CT 06451-4009
Phone number: 203-715-4290
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