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Contact Information

ELIZABETH K RICCOBONO, DO
65 W JIMMIE LEEDS RD
POMONA, NJ08240-9102
 Phone: 609-748-7597
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ELIZABETH K RICCOBONO · (Female)

NPI Number 1952515751
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/10/2007
Last updated 01/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB08999400
Hospital affiliation(s)
  • ATLANTICARE REGIONAL MEDICAL CENTER - CITY DIV - (Acute Care)
    1925 PACIFIC AVE
    ATLANTIC CITY, NJ 08401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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