Individual
DR. ANDREW RICCI JR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD, CT 06102-5037
(860) 545-2249
(860) 545-2249
Mailing address
99 EAST RIVER DR, EAST HARTFORD, CT 06108-7301
(860) 282-4133
(860) 289-0742
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
024645
CT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
024645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001246455
—
CT
Enumeration date
11/07/2005
Last updated
08/07/2013
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