Individual
DR. ANTONIO JOSE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1138 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-4890
(252) 335-7836
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34449
NC
208600000X
Surgery Physician
Primary
34449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8973838
—
NC
Enumeration date
07/18/2005
Last updated
06/20/2024
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