Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD JOSEPH RICCIARDELLI, MD

Deactivated Sole Proprietor

DR. EDWARD JOSEPH RICCIARDELLI, MD is a Plastic Surgery healthcare provider located in WILMINGTON, North Carolina. NPI 1073518064 is deactivated in the NPPES registry. Verify at CMS.

Plastic Surgery · WILMINGTON, NC

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1073518064
Provider Type: Individual
Gender: Male
NPI Issued: Jun 16, 2005 (0.76164383561644 yrs)
Last Updated: Dec 16, 2010
Deactivated: Mar 21, 2006
License: 9600699 (NC)
Sole Proprietor: Yes

Practice Information

Address: 1717 SHIPYARD BLVD

SUITE 100

WILMINGTON, NC, 28403
Browse NC providers · Browse ZIP 28403
Phone: 9107945355
Fax: 9107945358
Primary Specialty: Plastic Surgery
208200000X

Other Plastic Surgery Providers in WILMINGTON, NC

Name	Credential	NPI
LUTHER HAMILTON HOLTON III	MD	1861517625
THOMAS G. POTTLE	M D	1518146950
DR. CASEY GENE SHECK	D.O.	1447679709
DR. ANTHONY AZZOLINI	M.D.	1407301310
ADAM DANIEL GLENER	MD	1003348772
ALEXANDER MASON SMITH	M.D.	1306379193

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.