Provider / Organization | NPI | Date Certified |
---|---|---|
MARISSA RUGGIERO | 1912648742 | 2022-05-15 |
Marissa Ruggiero is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912648742. Registration indicates Marissa Ruggiero is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Marissa Ruggiero DDS |
Practice Office Address | 263 FARMINGTON AVE FARMINGTON, CT US |
Practice Office Telephone | 8606792000 |
Mailing Address | 1299 PALMER AVE APT 303 LARCHMONT, NY 105383119 US |
Business Telephone | 9142277242 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 13416
CT |