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Individual

DR. ROBERT LOUIS RICCA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6822
(717) 531-4970
Mailing address
500 UNIVERSITY DR MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
010123294
VA
2086S0102X
Surgical Critical Care Physician
0101232194
VA
2086S0120X
Pediatric Surgery Physician
0101232194
VA
2086S0120X
Pediatric Surgery Physician
83998
SC
2086S0120X
Pediatric Surgery Physician
Primary
MD459269
PA

Other

Enumeration date
01/21/2006
Last updated
11/12/2024
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