Individual
DIANA RICCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
925 CLIFTON AVE, STE 103, CLIFTON, NJ 07013-2724
(973) 417-5256
(973) 471-5157
Mailing address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(201) 967-4000
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
MA61908
NJ
2084P0800X
Psychiatry Physician
Primary
25MA06190800
NJ
Other
Enumeration date
03/27/2007
Last updated
06/21/2022
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