Individual
DOMINICK A RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
612 KINGSBOROUGH SQ STE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 213-9342
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 547-9294
(757) 213-9342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002303
VA
Other
Enumeration date
07/14/2006
Last updated
08/20/2019
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