| Doctor Name: | DOMINIC RUGGIERO |
| NPI Number: | 1275513145 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OS004583L |
| Business Practice Address: | 231 Northern Blvd Suite 3 South Abington Township, PA - 184119189 |
| Business Phone Number: | 5705874113 |
| Business Fax Number: | 5705877703 |
| Mailing Address: | 231 Northern Blvd, Suite 3 SOUTH ABINGTON TOWNSHIP |
| State: | PA |
| Postal Code: | 184119189 |
| Phone Number: | 5705874113 |
| Fax Number: | 5705877703 |
| NPI Enumeration Date: | 01/18/2006 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS004583L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |