Doctor Name: | DR. RONALD RAYMOND RICCO |
NPI Number: | 1063558443 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD03769 |
Business Practice Address: | 25 Circle Street Rumford, RI - 029161004 |
Business Phone Number: | 4014340222 |
Business Fax Number: | 4014340223 |
Mailing Address: | 25 Circle Street, RUMFORD |
State: | RI |
Postal Code: | 029161004 |
Phone Number: | 4014340222 |
Fax Number: | 4014340223 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD03769 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |