Active NPIIndividual provider

Mark A Ricigliano, DO

Family Medicine in Pennsauken, New Jersey

NPI Number1366482630
Practice location
6705 Park Ave, Pennsauken, NJ 08109
Fax
856-662-6016
Last updated
May 24, 2011

Mark A Ricigliano is a Family Medicine based in Pennsauken, NJ. Mark A Ricigliano practices in Pennsauken, NJ and has the professional credentials of DO. The NPI Number for Mark A Ricigliano is 1366482630 and holds a License No. mb048807 (NJ). The current practice location address for Mark A Ricigliano is 6705 Park Ave, Pennsauken, NJ 08109 and can be reached out via phone at 856-662-0017 and via fax at 856-662-6016.

Provider Profile Details

NPI Number
1366482630
Provider Name
Mark A Ricigliano
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6705 Park Ave, Pennsauken, NJ 08109
Phone Number
856-662-0017
Fax Number
856-662-6016
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
May 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
6705 Park Ave
Pennsauken, NJ 08109
Zip
08109
Phone Number
856-662-0017
Fax Number
856-662-6016
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
6705 Park Ave
Pennsauken, NJ 08109
City
Pennsauken
State
NJ
Zip
08109
Phone Number
856-662-0017
Fax Number
856-662-6016

License Information

License Number
mb048807
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark A Ricigliano, DO?

The NPI number of Mark A Ricigliano, DO is 1366482630. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark A Ricigliano, DO?

Mark A Ricigliano, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number mb048807.

Where does Mark A Ricigliano, DO practice?

The practice location is 6705 Park Ave, Pennsauken, NJ 08109. The office can be reached at 856-662-0017 (phone) or 856-662-6016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366482630 directly on the NPPES registry website.

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