Healthcare Provider Details

I. General information

NPI: 1205949856
Provider Name (Legal Business Name): THOMAS F. RUZICS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 5TH ST SE SUITE A
BARBERTON OH
44203-9003
US

IV. Provider business mailing address

169 5TH ST SE SUITE A
BARBERTON OH
44203-9003
US

V. Phone/Fax

Practice location:
  • Phone: 330-745-3080
  • Fax: 330-745-6534
Mailing address:
  • Phone: 330-745-3080
  • Fax: 330-745-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35056380
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: