Individual
CARLY ELIZABETH RUGGIERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-2096
(215) 349-5895
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-2096
(215) 349-5895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061151
PA
Other
Enumeration date
10/22/2019
Last updated
07/23/2025
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