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Individual

DR. ERIC THOMAS RICCHETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, A40, CLEVELAND, OH 44195-0001
(216) 445-6915
(216) 445-3694
Mailing address
9500 EUCLID AVE, A40, CLEVELAND, OH 44195-0001
(216) 445-6915
(216) 445-3694

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
095118
OH
207X00000X
Orthopaedic Surgery Physician
MD430648
PA
207X00000X
Orthopaedic Surgery Physician
MT181913
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3077503
OH
Enumeration date
12/11/2006
Last updated
11/01/2010
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