Individual
DR. JAY SCOTT RICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 BRIGHTON ST, #303, BETHLEHEM, PA 18015-1273
(610) 868-1100
(610) 868-1111
Mailing address
95 HIGHLAND AVE, STE 130, BETHLEHEM, PA 18017-9483
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD428350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001292349
—
PA
05
—
01336507
—
NY
Enumeration date
03/08/2006
Last updated
03/20/2017
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