Individual
DR. NICHOLAS JOSEPH RUGGIERO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-5050
Mailing address
925 CHESTNUT STREET, MEZZANINE, PHILADELPHIA, PA 19107-4201
(215) 955-5050
(215) 955-7499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA10128800
NJ
207RC0000X
Cardiovascular Disease Physician
MD424061
PA
207RI0011X
Interventional Cardiology Physician
25MA10128800
NJ
207RI0011X
Interventional Cardiology Physician
Primary
MD424061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241571
—
NJ
05
—
1025095330001
—
PA
Enumeration date
05/09/2007
Last updated
04/12/2019
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