Provider Demographics
NPI:1326297367
Name:RUTKOWSKI, SIGMOND STEPHEN JR (DO)
Entity Type:Individual
Prefix:DR
First Name:SIGMOND
Middle Name:STEPHEN
Last Name:RUTKOWSKI
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:710 GARDENS PKWY
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-4716
Mailing Address - Country:US
Mailing Address - Phone:609-399-3495
Mailing Address - Fax:609-399-4495
Practice Address - Street 1:710 GARDENS PKWY
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-4716
Practice Address - Country:US
Practice Address - Phone:609-399-3495
Practice Address - Fax:609-399-4495
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB024117002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology