Individual
MR. ANTHONY J RICCIUTI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
95 HOCKANUM BLVD, #5225, VERNON, CT 06066-4099
(860) 716-4019
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001953
CT
Other
Enumeration date
09/17/2007
Last updated
04/13/2022
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