Provider Demographics
NPI:1487529251
Name:RIVERS, AMARIAH
Entity type:Individual
Prefix:
First Name:AMARIAH
Middle Name:
Last Name:RIVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 WOODSTOWN RD APT 814
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9569
Mailing Address - Country:US
Mailing Address - Phone:856-602-3466
Mailing Address - Fax:
Practice Address - Street 1:58 WOODSTOWN RD APT 814
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9569
Practice Address - Country:US
Practice Address - Phone:856-602-3466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist