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Individual

DR. ADAM J RUSKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS9823
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO2435
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009464400
FL
01
OS12322
OS12322
FL
Enumeration date
06/09/2010
Last updated
06/10/2024
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