Provider Demographics
NPI:1306129788
Name:RIVARD, MADELEINE J (PA)
Entity type:Individual
Prefix:MS
First Name:MADELEINE
Middle Name:J
Last Name:RIVARD
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Gender:F
Credentials:PA
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Mailing Address - Street 1:315 NORWOOD PARK SOUTH
Mailing Address - Street 2:BRIGHAM AND WOMEN'S PRIMARY CARE ASSOCIATES AT NORWOOD
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-216-3866
Mailing Address - Fax:
Practice Address - Street 1:315 NORWOOD PARK SOUTH
Practice Address - Street 2:BRIGHAM AND WOMEN'S PRIMARY CARE ASSOCIATES AT NORWOOD
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-216-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2016-12-29
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Provider Licenses
StateLicense IDTaxonomies
MAPA4259363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant