Individual
DR. MICHAEL RICARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
157 ROUTE 73, VOORHEES, NJ 08043-9653
(856) 218-0300
(856) 589-9487
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 772-2300
(856) 589-9487
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB10440700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0674117
—
NJ
01
—
777170
MEDICARE
NJ
Enumeration date
06/30/2011
Last updated
09/03/2020
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