Provider Demographics
NPI:1255573937
Name:RICKS, SANDY (MD)
Entity type:Individual
Prefix:DR
First Name:SANDY
Middle Name:
Last Name:RICKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 US HIGHWAY 22 W STE 1002
Mailing Address - Street 2:SOMERSET PEDIATRIC GROUP
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-4403
Mailing Address - Country:US
Mailing Address - Phone:908-725-5530
Mailing Address - Fax:
Practice Address - Street 1:3322 US HIGHWAY 22 W STE 1002
Practice Address - Street 2:SOMERSET PEDIATRIC GROUP
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-4403
Practice Address - Country:US
Practice Address - Phone:908-725-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00000000000000000000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics