Individual
DR. JEFFREY M. RIGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4414
(215) 955-6180
(215) 955-6410
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-069677-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001796560
—
PA
05
—
8181608
—
NJ
Enumeration date
07/17/2006
Last updated
06/06/2011
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