Individual
DR. ROBERT J RICCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9140 ACADEMY RD, STE G, PHILADELPHIA, PA 19114
(215) 624-7333
(215) 624-7955
Mailing address
9140 ACADEMY RD, STE G, PHILADELPHIA, PA 19114-2853
(215) 624-7333
(215) 624-7955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD023106E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055468001
KEYSTONE
PA
01
—
0055769
BLUE SHIELD
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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