| Doctor Name: | ANTHONY MARK RUFFA |
| NPI Number: | 1134128341 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OS007632L |
| Business Practice Address: | 333 State St Suite 206 Erie, PA - 165071450 |
| Business Phone Number: | 8148775295 |
| Business Fax Number: | 8148775299 |
| Mailing Address: | 717 State St, Suite 16, Ll ERIE |
| State: | PA |
| Postal Code: | 165011341 |
| Phone Number: | 8144807100 |
| Fax Number: | 8144807604 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | OS007632L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |