Individual
DAVID MICHAEL RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1525 WAMPANOAG TRL, SUITE 204, RIVERSIDE, RI 02915-1038
(401) 228-6710
(401) 228-6717
Mailing address
649 EAST AVE, PAWTUCKET, RI 02860-6157
(401) 305-3800
(401) 305-3816
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0299
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0484592
TUFTS
RI
01
—
2642-0
BC BS
RI
01
—
3118118
AETNA US HEALTHCARE
RI
01
—
409956
BLUE CHIP
RI
05
—
DR47652
—
RI
Enumeration date
04/17/2006
Last updated
11/20/2009
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