Provider Demographics
NPI:1699041350
Name:MARRUFFO, JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:MARRUFFO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 GREENHURST DR
Mailing Address - Street 2:2243 GREENVIEW
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-4778
Mailing Address - Country:US
Mailing Address - Phone:214-334-5328
Mailing Address - Fax:214-267-9281
Practice Address - Street 1:2549 GREENHURST DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-4778
Practice Address - Country:US
Practice Address - Phone:214-334-5328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171W00000XOther Service ProvidersContractor
No175F00000XOther Service ProvidersNaturopath
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No172V00000XOther Service ProvidersCommunity Health Worker
No175L00000XOther Service ProvidersHomeopath
No171000000XOther Service ProvidersMilitary Health Care Provider
No1744R1102XOther Service ProvidersSpecialistResearch Study
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based
No246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical
No174400000XOther Service ProvidersSpecialist