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Individual
DR. PAUL RICCA
Active
Individual
DR. PAUL RICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067SP1
BLUE CROSS BLUE SHIELD
—
01
—
199218
HIP
—
01
—
2012855356
HORIZON
—
01
—
201285536
UHC
—
01
—
2121466
VYTRA
—
01
—
2590592
GHI
—
01
—
3732093
CIGNA
—
01
—
4C8693
HEALTHNET
—
01
—
5749201
AETNA
—
01
—
P00221182
RR MCR
—
01
—
P451722
OXFORD
—
Enumeration date
12/12/2006
Last updated
08/26/2013
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