Organization
BLOOM HEALTHCARE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY RICCO MD (PHYSICIAN)
(610) 574-2322
Entity
Organization
Contact information
Practice address
116 E MONTGOMERY AVE UNIT 111, ARDMORE, PA 19003-2434
(610) 574-2322
Mailing address
116 E MONTGOMERY AVE UNIT 111, ARDMORE, PA 19003-2434
(610) 574-2322
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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