| Doctor Name: | DR. MARC FRANCIS RICCARDI |
| NPI Number: | 1023071982 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | QA9717 |
| Business Practice Address: | 150 N Finley Ave Basking Ridge, NJ - 079201686 |
| Business Phone Number: | 9083404772 |
| Business Fax Number: | 9083404774 |
| Mailing Address: | 150 N Finley Ave, BASKING RIDGE |
| State: | NJ |
| Postal Code: | 079201686 |
| Phone Number: | 9083404772 |
| Fax Number: | 9083404774 |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | QA9717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |