Individual
PHILLIP RUISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 BOULEVARD, MOUNTAIN LAKES, NJ 07046-1723
(973) 334-7700
(973) 402-5847
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
253954-1
NY
207RI0011X
Interventional Cardiology Physician
Primary
253954-1
NY
Other
Enumeration date
06/23/2008
Last updated
03/22/2021
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