Provider Demographics
NPI:1588152177
Name:RICARDO, ALISON P
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:P
Last Name:RICARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 PINE TREE WAY
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2846
Mailing Address - Country:US
Mailing Address - Phone:908-477-7626
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-5045
Practice Address - Country:US
Practice Address - Phone:570-214-0539
Practice Address - Fax:570-271-8324
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-29
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty