Individual
DR. JEROME A. RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
507 RAHWAY AVE, ELIZABETH, NJ 07202-2308
(908) 352-0034
(908) 469-6303
Mailing address
507 RAHWAY AVE, ELIZABETH, NJ 07202-2308
(908) 352-0034
(908) 352-0034
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00097900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1781804
—
NJ
Enumeration date
07/13/2006
Last updated
09/21/2012
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