MEDICARE: RUTH A MORGESE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	531	NM

General Provider Information

NPI Number	:	1427471689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH A MORGESE PT

Provider Business Mailing Address
First Line	:	13 DOS LOCOS
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-5014
Country	:	US
Telephone Number	:	505-559-0164
Fax Number	:	505-916-0727

Provider Business Practice Location Address
First Line	:	13 DOS LOCOS
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-5014
Country	:	US
Telephone Number	:	505-559-0164
Fax Number	:	505-916-0727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2014
Last Update Date	:	01/23/2014

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Directions to “ RUTH A MORGESE PT” Practice Location

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