Organization
RR PACE MAKER EVALUATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RUGGIERO MD (OWNER)
(570) 654-2636
Entity
Organization
Contact information
Practice address
225 S RIVER ST, PLAINS, PA 18705-1123
(570) 654-2636
Mailing address
103 EXETER AVE, WEST PITTSTON, PA 18643-2439
(570) 654-2636
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045370
RR MEDICARE PRACTICE #
PA
05
—
07239160103
—
PA
01
—
072729
FIRST PRIORITY PROVIDER #
PA
Enumeration date
04/23/2007
Last updated
07/21/2022
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