Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominic J Riccio, PA-C

Individual provider Surgical Physician Assistant · NPI 1770256950

Dominic J Riccio, PA-C is a Surgical Physician Assistant in Wynnewood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Lancaster Ave Ste 275
Wynnewood, PA 19096-3450
Phone: (610) 642-1908
Fax: (484) 476-2754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA061938 (PA)

Record details

NPI number1770256950
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021

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