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NPI Code Detail

MEDICARE: THOMAS RUFFOLO MD

MEDICARE: THOMAS RUFFOLO MD
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
1207RG0100XGastroenterology Physician34150NC

General Provider Information

NPI Number : 1902800766
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS RUFFOLO MD
Provider Business Mailing Address
First Line : 606 E 12TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3408
Country : US
Telephone Number : 252-946-1573
Fax Number : 252-946-1573
Provider Business Practice Location Address
First Line : 606 E 12TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3408
Country : US
Telephone Number : 252-946-1573
Fax Number : 252-946-1316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 01/20/2022

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Directions to “ THOMAS RUFFOLO MD” Practice Location

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