Individual
DR. ERIC WILLIAM RUCKERT
Active
Individual
DR. ERIC WILLIAM RUCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00855078
—
NY
01
—
102051AT
PREFERRED CARE
NY
01
—
5448185
AETNA ID NUMBER
NY
01
—
7877ER
EXCELLUS
NY
01
—
P010034499
BLUE CHOICE ID
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
Update your record
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