Organization
RICHARD J. RUGGIERI MD INC.
Active
Parent organization
MEDVANTX, INC
Other names
Wayland Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
160 WAYLAND AVE, PROVIDENCE, RI 02906-4304
(401) 521-1221
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD07821
RI
Other
Enumeration date
02/12/2007
Last updated
05/22/2023
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