Individual
MARK A RICIGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6705 PARK AVE, PENNSAUKEN, NJ 08109
(856) 662-0017
(856) 662-6016
Mailing address
6705 PARK AVE, PENNSAUKEN, NJ 08109
(856) 662-0017
(856) 662-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB048807
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4761405
—
NJ
Enumeration date
06/07/2006
Last updated
05/24/2011
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