Provider Demographics
NPI:1275951915
Name:RICCARDI, GINA FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:FRANCES
Last Name:RICCARDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4755 OGLETOWN STANTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:302-733-4200
Mailing Address - Fax:302-733-2711
Practice Address - Street 1:4745 OGLETOWN STANTON RD STE 116
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2070
Practice Address - Country:US
Practice Address - Phone:302-733-4200
Practice Address - Fax:302-733-2711
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0013196207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine