Organization
RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R RUIZ DPM (PHYSICIAN)
(856) 825-9009
Entity
Organization
Contact information
Practice address
1600 HIGH ST N, MILLVILLE, NJ 08332-1922
(856) 825-9009
(856) 825-4766
Mailing address
501 DORAL DR, BLACKWOOD, NJ 08012-5424
(856) 232-9286
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00234800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000536893
HIGHMARK BLUE SHIELD
NJ
01
—
0479397000
AMERIHEALTH HMO
NJ
05
—
7446802
—
NJ
Enumeration date
06/23/2006
Last updated
01/10/2017
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