Healthcare Provider Details

I. General information

NPI: 1871173948
Provider Name (Legal Business Name): MICHAEL DANIEL RUOCCO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE FL 3
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

320 E NORTH AVE FL 3
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6466
  • Fax:
Mailing address:
  • Phone: 412-359-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS026300
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: