MEDICARE: RICHARD FICORILLI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1760218259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD FICORILLI

Provider Business Mailing Address
First Line	:	2351 BOSTON POST RD STE 201
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-4360
Country	:	US
Telephone Number	:	203-506-8294
Fax Number	:

Provider Business Practice Location Address
First Line	:	2351 BOSTON POST RD STE 201
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-4360
Country	:	US
Telephone Number	:	203-506-8294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “ RICHARD FICORILLI ” Practice Location

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