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Individual

DR. MARCUS RICCIONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
Mailing address
174 S FREEPORT RD, FREEPORT, ME 04032-6145
(207) 865-1819
(207) 865-4535

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
013669
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099877
ANTHEM
ME
01
2421688
AETNA
ME
01
8561900
CIGNA
ME
01
F72448
HARVARD PILGRIM HEALTHCAR
ME
Enumeration date
10/19/2006
Last updated
10/30/2007
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