Individual
DR. DOMINIC RUOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(856) 616-8100
(856) 616-1919
Mailing address
PO BOX 5075, CHERRY HILL, NJ 08034-5075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA075593000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007790
—
NJ
Enumeration date
07/11/2006
Last updated
07/08/2007
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