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Individual

DR. ANDREA M RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
142 PALISADE AVE, SUITE 105, JERSEY CITY, NJ 07306-1108
(201) 795-2452
(201) 795-2405
Mailing address
142 PALISADE AVE, SUITE 105, JERSEY CITY, NJ 07306-1108
(201) 795-2452
(201) 795-2405

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MA30020
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3016102
NJ
Enumeration date
09/01/2006
Last updated
07/08/2007
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