Ruffa, Geraldine S

Ruffa, Geraldine S is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Ruffa, Geraldine S can be contacted via phone (860) 446-8265.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 446-8265
Fax: (860) 448-6961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 030899 Connecticut

Profile Details

NPI number 1578576781
LBN Legal business name Ruffa, Geraldine S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578576781 NPPES
Connecticut MEDICAID 4024972
Connecticut MEDICAID 4014679

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