| NPI | 1063959211 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GAURANG RAVAJI BRAHMBHATT Cmo 201-706-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-06-02 |