Individual
DR. EDWARD JOSEPH RICCIARDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
9600699
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011E3
BLUE CROSS GROUP ID
NC
01
—
1328886
UNITED HEALTH CARE
NC
01
—
71471
BLUE CROSS INDIVIDUAL
NC
05
—
8971471
—
NC
Enumeration date
06/16/2005
Last updated
08/06/2026
Update your record
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