Individual
DR. VALARIE A RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
335 PARK AVE, WORCESTER, MA 01610-1000
(508) 753-5103
(508) 753-6395
Mailing address
335 PARK AVE, WORCESTER, MA 01610-1000
(508) 753-5103
(508) 753-6395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3453
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354384
—
MA
01
—
301680
CIGNA
—
01
—
725511
TUFTS
—
05
—
9715070
—
MA
Enumeration date
12/19/2006
Last updated
07/09/2007
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