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General NPI Number Information
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NPI Number | 1417967019
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Entity Type | Individual
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Provider Name | FRANK RUIZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 925 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2724
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Country | US
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Telephone | 973-458-0408
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Fax | 973-405-6564
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Provider Business Mailing Address
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Address Line | 1130 MCBRIDE AVE FL 3
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3806
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Country | US
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Telephone | 973-812-1400
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Fax | 973-812-1404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA6384100
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License Number State | NJ
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