| Organization Name: | RAYMOND A RIVELL DPM PA |
| NPI Number: | 1710085121 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND ARTHUR RIVELL (PRESIDENT) |
| Mailing Address: | 7 Glenwood Place Pennsville |
| State: | NJ US |
| Postal Code: | 080700247 |
| Phone Number: | 8566784550 |
| Fax Number: | 8566786272 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 25MD00102000 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |