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NPI Code Detail

MEDICARE: CHRISTINA MARIE RICCI D.C.

MEDICARE:   CHRISTINA MARIE RICCI  D.C.
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
1111N00000XChiropractorS04167MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1521737601OTHERMDTAX ID

General Provider Information

NPI Number : 1811696321
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE RICCI D.C.
Provider Business Mailing Address
First Line : 1610 WEST ST STE 110
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4053
Country : US
Telephone Number : 410-263-6331
Fax Number : 410-280-9886
Provider Business Practice Location Address
First Line : 1610 WEST ST STE 110
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4053
Country : US
Telephone Number : 410-263-6331
Fax Number : 410-280-9886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 02/23/2023

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Directions to “ CHRISTINA MARIE RICCI D.C.” Practice Location

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