Organization
SUMMIT COSMETIC SURGERY CENTER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J RICCIARDELLI MD (OWNER)
(910) 794-5355
Entity
Organization
Contact information
Practice address
1717 SHIPYARD BLVD, SUITE 100, WILMINGTON, NC 28403-8019
(910) 794-5355
(910) 794-5358
Mailing address
1717 SHIPYARD BLVD, SUITE 100, WILMINGTON, NC 28403-8019
(910) 794-5355
(910) 794-5358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
01/04/2011
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