Provider Demographics
NPI:1215028352
Name:RUGGIERO ORTHOPAEDICS ASSOCIATES LTD., P.C.
Entity Type:Organization
Organization Name:RUGGIERO ORTHOPAEDICS ASSOCIATES LTD., P.C.
Other - Org Name:ADVANCED SPINE AND SPORTS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUGGERIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-640-4133
Mailing Address - Street 1:266 LANCASTER AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-3256
Mailing Address - Country:US
Mailing Address - Phone:610-640-4133
Mailing Address - Fax:610-640-0630
Practice Address - Street 1:266 LANCASTER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3256
Practice Address - Country:US
Practice Address - Phone:610-640-4133
Practice Address - Fax:610-640-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACC6125OtherMEDICARE RAILROAD
PA639494Medicare PIN