Riccitelli, Robert V

Riccitelli, Robert V is an individual health care provider with primary practice located at 73 High St Ctn Charlestwon Healthcare Center, Charlestown MA 02129-3096. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Riccitelli, Robert V can be contacted via phone (617) 724-2270.

Contact Information

Primary practice address
73 High St Ctn Charlestwon Healthcare Center Charlestown MA 02129-3096
Phone: (617) 724-2270
Fax: (617) 724-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2139 Massachusetts

Profile Details

NPI number 1528049566
LBN Legal business name Riccitelli, Robert V
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 14th, 2012 - about 12 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 1528049566 NPPES
Massachusetts Other Y71098 BCBS MA
Massachusetts MEDICAID 0362310 BCBS MA
Massachusetts Other 403867 BCBS MA

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