# RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174559215
- **Authorized official:** DR. JOSE R RUIZ DPM (PHYSICIAN)
- **Authorized official phone:** (856) 825-9009

## Contact information

- **Practice address:** 1600 HIGH ST N, MILLVILLE, NJ 08332-1922
- **Practice address phone:** (856) 825-9009
- **Practice address fax:** (856) 825-4766
- **Mailing address:** 501 DORAL DR, BLACKWOOD, NJ 08012-5424
- **Mailing address phone:** (856) 232-9286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00234800 | NJ | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 01/10/2017