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Individual

JOSEPH M RIFICI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000021
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232314
UNISON
OH
01
000000515972
ANTHEM
OH
01
0583328
BCMH
OH
05
2491585
OH
01
415025
WELLCARE MEDICAID
OH
01
50045372
RAILROAD MEDICARE
OH
01
7764013
AETNA
OH
01
P00839055
MEDICARE RAILROAD
OH
Enumeration date
07/26/2006
Last updated
09/14/2010
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