Individual
JODIE ITALIA LUCIA RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 MORRIS AVE, SUITE 302, SPRINGFIELD, NJ 07081-1225
(973) 232-6900
(973) 232-6912
Mailing address
155 MORRIS AVE, SUITE 302, SPRINGFIELD, NJ 07081-1225
(973) 232-6900
(973) 232-6912
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA09550000
NJ
207W00000X
Ophthalmology Physician
D0063146
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00242171
RAILROAD
—
Enumeration date
11/28/2006
Last updated
02/24/2016
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