Individual
THOMAS C RUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, APN, C
Contact information
Practice address
90 BERGEN ST, SUITE 7100, NEWARK, NJ 07103-2425
(973) 972-2400
Mailing address
20 MIDSUMMER DR, OLD BRIDGE, NJ 08857-2712
(732) 607-0223
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
26NC08521200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8382905
—
NJ
Enumeration date
01/10/2007
Last updated
07/09/2007
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