Individual
AMY C RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1236
(207) 626-1549
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1236
(207) 626-1549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
018779
ME
207Q00000X
Family Medicine Physician
27737
AZ
208M00000X
Hospitalist Physician
Primary
018779
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841238730
—
ME
05
—
599970
—
AZ
Enumeration date
06/03/2006
Last updated
06/01/2011
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