Organization
LOUIS S RUVOLO M D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS RUVOLO M.D. (PRESIDENT)
(609) 877-1737
Entity
Organization
Contact information
Practice address
1000 SALEM RD STE A, WILLINGBORO, NJ 08046-2852
(609) 877-1737
(609) 877-1589
Mailing address
1000 SALEM RD STE A, WILLINGBORO, NJ 08046-2852
(609) 877-1737
(609) 877-1589
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02679600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316800
—
NJ
Enumeration date
02/04/2010
Last updated
02/04/2010
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