Organization
RR PACE MAKER EVALUATION CLINIC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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