Riccio, David

Riccio, David is an sole proprietor health care provider with primary practice located at 310 Main St , East Haven CT 06512-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Riccio, David can be contacted via phone (203) 467-1800.

Contact Information

Primary practice address
310 Main St East Haven CT 06512-2919
Fax: (203) 468-8343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 022540 Connecticut

Profile Details

NPI number 1083613509
LBN Legal business name Riccio, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Oct 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083613509 NPPES
Connecticut Other 110179063 RAILROAD MEDICARE
Connecticut Other 010022540CT01 RAILROAD MEDICARE
Connecticut Other 022540 RAILROAD MEDICARE
Connecticut Other 2047711 RAILROAD MEDICARE
Connecticut Other NHP075 RAILROAD MEDICARE
Connecticut Other 0Q2055 RAILROAD MEDICARE

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