Individual
JARED J RICOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
271 RAILROAD ST, PHILIPSBURG, PA 16866-2300
(814) 342-1872
(814) 342-1874
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055516
PA
363A00000X
Physician Assistant
Primary
OA002899
PA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103109920
—
PA
Enumeration date
07/03/2012
Last updated
07/05/2021
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