Individual
ALEX RICCIUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
(610) 449-9838
Mailing address
34 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
(610) 449-9838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD050842L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
708451
HIGHMARK
PA
Enumeration date
08/05/2006
Last updated
05/17/2026
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