Individual
DAVID RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 MAIN ST, EAST HAVEN, CT 06512-2919
(203) 467-1800
(203) 468-8343
Mailing address
9 WASHINGTON AVE, 2ND FLOOR, HAMDEN, CT 06518-3267
(203) 248-3013
(203) 248-2878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022540
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022540CT01
BLUE CROSS BLUE SHIELD
CT
01
—
022540
CONNECTICARE
CT
01
—
0Q2055
HEALTH NET
CT
01
—
110179063
RAILROAD MEDICARE
CT
01
—
2047711
AETNA
CT
01
—
NHP075
OXFORD
CT
Enumeration date
07/18/2005
Last updated
10/17/2011
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