Individual
MR. ANTHONY RICCARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
84 STATE ROUTE 31, FLEMINGTON, NJ 08822-1251
(908) 284-7214
Mailing address
114 RIVER ST, MONROE TWP, NJ 08831-2464
(732) 416-0113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00070600
NJ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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