Individual
ROBERT RUFFALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
265 BROAD ST, SUITE 4, BLOOMFIELD, NJ 07003-2764
(973) 429-3001
(973) 429-2033
Mailing address
14 WOODSTONE DR, CEDAR GROVE, NJ 07009-1940
(973) 239-9313
(973) 239-9314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MC00374000
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
QA00407200
NJ
Other
Enumeration date
06/05/2006
Last updated
05/01/2024
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