Edward Joseph Ricciardelli MD

NPI 1073518064 - Plastic Surgery - 208200000X

NPI Details
NPI 1073518064
Gender Male
Enumeration Date 06/16/2005
Last Updated 12/16/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1717 SHIPYARD BLVD
SUITE 100
WILMINGTON NC, 28403, US
Phone (910) 794-5355
Fax (910) 794-5358
Business Location
1717 SHIPYARD BLVD
SUITE 100
WILMINGTON NC, 28403, US
Phone (910) 794-5355
Fax (910) 794-5355
Toxanomy
Taxonomy Code 208200000X
License State North Carolina
License Number 9600699
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According to our database, Dr. Edward Joseph Ricciardelli MD NPI is 1073518064, taxonomy code is 208200000X and license number is 9600699, license state is located at North Carolina. Edward Joseph Ricciardelli MD physically located at 1717 Shipyard Blvd, Wilmington NC, 28403. NPI Number Edward Joseph Ricciardelli MD has the Individual type.

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1073518064 NPI number is provided on an as is basis without warranty of any kind. 1073518064 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Joseph Ricciardelli MD are for informational purposes only.