| Organization Name: | RIVERSIDE COMMUNITY CARE |
| NPI Number: | 1902043136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURA LYNN VESCERA (EMERGENCY SERVICES CLINICIAN) |
| Mailing Address: | 206 Milford Street Upton |
| State: | MA US |
| Postal Code: | 015681309 |
| Phone Number: | 5086343420 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2009 |
| NPI Last Update Date: | 01/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |