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Individual
DR. MARC G RUCQUOI
Active
Individual
DR. MARC G RUCQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
131910
NC
207Q00000X
Family Medicine Physician
Primary
21172
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141M4
BLUE CROSS BLUE SHEILD NC
NC
05
—
5902852
—
NC
05
—
L31972
—
SC
01
—
P00813760
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
09/05/2006
Last updated
10/20/2015
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