Individual
GEORGE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2976
(570) 271-6523
(570) 271-8056
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD03556508
DC
207RC0000X
Cardiovascular Disease Physician
Primary
MD473809
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010208084
—
VA
05
—
408355500
—
MD
Enumeration date
05/19/2006
Last updated
05/12/2021
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