Organization
RICCIARDI'S SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP E. RICCIARDI SR. CERTIFIED PEDORTHIST (OWNER)
(412) 885-2586
Entity
Organization
Contact information
Practice address
1900 BROWNSVILLE RD, PITTSBURGH, PA 15210-4202
(412) 885-2586
(412) 885-2597
Mailing address
1900 BROWNSVILLE RD, PITTSBURGH, PA 15210-4202
(412) 885-2586
(412) 885-2597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0738800002
DURABLE EQUIPMENT
PA
Enumeration date
11/08/2006
Last updated
12/10/2007
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