Organization
ROBERT J RICCHETTI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN M RICCHETTI (OFFICE MANAGER)
(215) 624-7333
Entity
Organization
Contact information
Practice address
9140 ACADEMY ROAD, SUITE G, PHILADELPHIA, PA 19114
(215) 624-7333
(215) 624-7955
Mailing address
9140 ACADEMY ROAD, SUITE G, PHILADELPHIA, PA 19114
(215) 624-7333
(215) 624-7955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD023106-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2816685000
BLUE SHIELD
PA
01
—
2816685001
KEYSTONE
PA
Enumeration date
04/04/2007
Last updated
01/02/2008
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