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Individual

ROCCO RICCIARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-2945
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-2945

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
158047
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
158047
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110075263A
MA
Enumeration date
01/03/2007
Last updated
01/28/2026
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