Provider Demographics
NPI:1811160906
Name:RUSZKOWSKI, JAIME MARIE (MD)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:MARIE
Last Name:RUSZKOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:MARIE
Other - Last Name:PUGLISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:888 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4552
Mailing Address - Country:US
Mailing Address - Phone:203-459-9666
Mailing Address - Fax:203-459-9698
Practice Address - Street 1:888 WHITE PLAINS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4552
Practice Address - Country:US
Practice Address - Phone:203-459-9666
Practice Address - Fax:203-459-9698
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049350207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine