Individual
TARA RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
378 FRIES MILL RD, SEWELL, NJ 08080-9203
(856) 218-4200
Mailing address
333 N SUMMIT ST FL 15, TOLEDO, OH 43604-2615
(419) 252-6031
(800) 564-5952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01026800
NJ
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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