Individual
DR. LOUIS FRANCIS RICCIARDONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
126 FRONT STREET, BATH, ME 04530
(207) 443-5012
Mailing address
126 FRONT STREET, BATH, ME 04530
(207) 443-5012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ME 571TA
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0384770001
DME SUPPLY NUMBER
ME
Enumeration date
10/17/2006
Last updated
07/08/2007
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