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1184019671
MICHAEL JOSEPH LARIVIERE
PHILADELPHIA, PA
NPI
1184019671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology Radiation Oncology
(Licence: PA MD471427)
Enumeration Date
2015-04-01
Last Update Date
2021-09-08
Business Address
MICHAEL JOSEPH LARIVIERE MD
3400 CIVIC CENTER BLVD PCAM-2 WEST
PHILADELPHIA, PA 19104-5127
Phone number: 215-615-7239
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Mailing Address
MICHAEL JOSEPH LARIVIERE MD
3400 CIVIC CENTER BLVD PCAM-2 WEST
PHILADELPHIA, PA 19104-5127
Phone number: 215-615-7239
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