Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL LUIS REVERON, PHARMD
Active Sole ProprietorDR. SAMUEL LUIS REVERON, PHARMD is a Pharmacotherapy Specialist healthcare provider located in NORTH BERGEN, New Jersey. NPI 1699116012 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · NORTH BERGEN, NJ
Registration Details
- NPI Number
- 1699116012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2013 (13.122373962986 yrs)
- Last Updated
- Jul 14, 2013
- License
-
28RI03384200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 78TH STD5NORTH BERGEN, NJ, 070475868Browse NJ providers · Browse ZIP 07047
- Phone
- 2158402592
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.