| NPI | 1508606237 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GAURANG RAVAJI BRAHMBHATT Credentialing Supervisor 201-706-8490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |