Individual
DOMINIC RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
231 NORTHERN BLVD, SUITE 3, SOUTH ABINGTON TOWNSHIP, PA 18411-9189
(570) 587-4113
(570) 587-7703
Mailing address
231 NORTHERN BLVD, SUITE 3, SOUTH ABINGTON TOWNSHIP, PA 18411-9189
(570) 587-4113
(570) 587-7703
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS004583L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000953881
—
PA
Enumeration date
01/18/2006
Last updated
01/31/2011
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