Individual
DR. JACQUELINE RENEE RUZGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF CHIROPRACT
Contact information
Practice address
2452 BLACK ROCK TPK, SUITE 9, FAIRFIELD, CT 06825
(203) 372-7333
(203) 372-1348
Mailing address
2490 BLACK ROCK TPKE, 355, FAIRFIELD, CT 06825
(203) 372-7333
(203) 372-1348
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
000621
CT
111NX0800X
Orthopedic Chiropractor
17369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000621CT01
BLUECROSS/BLUE SHIELD
CT
01
—
1034320
AETNA
CT
01
—
1479068003
CIGNA
CT
01
—
29721
#29721
CT
01
—
752213
CONNECTICARE
CT
01
—
ACN646831
ACN
CT
01
—
X8E34
EMPIRE BC/BS/ NY
NY
01
—
ZS924
OXFORD
CT
Enumeration date
09/29/2006
Last updated
07/08/2007
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