Healthcare Provider Details

I. General information

NPI: 1093743825
Provider Name (Legal Business Name): FRANCIS P RUGGIERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 NOLL DR STE 200
LANCASTER PA
17603-7608
US

IV. Provider business mailing address

409 S 2ND ST STE 2F
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-481-8720
  • Fax: 717-481-8726
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD40935
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: