Provider Demographics
NPI:1558350058
Name:RUCQUOI, GERALDINE KLEINE (MS)
Entity Type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:KLEINE
Last Name:RUCQUOI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 STONEGATE CIR
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-4314
Mailing Address - Country:US
Mailing Address - Phone:203-481-0160
Mailing Address - Fax:203-863-3467
Practice Address - Street 1:5 PERRYRIDGE RD
Practice Address - Street 2:GREENWICH HOSPITAL
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4608
Practice Address - Country:US
Practice Address - Phone:203-863-3917
Practice Address - Fax:203-863-3467
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS