| Organization Name: | RECONSTRUCTIVE FOOT AND ANKLE SURGICAL ASSOCIATES PC |
| NPI Number: | 1174559215 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE R RUIZ (PHYSICIAN) |
| Mailing Address: | 1306 N High St Millville |
| State: | NJ US |
| Postal Code: | 083322532 |
| Phone Number: | 8568259009 |
| Fax Number: | 8568254766 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00234800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |