Physician Compare National (NPI:1417336496)

HEALTHCARE PROVIDER: CHRISTINA RICCARDO RD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1417336496
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628493038
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200803000463
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICCARDO
	Individual professional last name
Provider First Name	CHRISTINA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	829 2ND ST PIKE
	Group Practice or individual's line 1 address
City	RICHBORO
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	189541067
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2159628849
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y