Noah John Ruitenberg, DMD
Student in an Organized Health Care Education/Training Program in Paterson, NJ. Individual provider (NPI-1).
NPI number1164041471
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1164041471
- Entity type
- Individual (NPI-1)
- Name
- Noah John Ruitenberg
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NJ | Yes |
Practice location
703 Main StPaterson, NJ 07503-2621
Phone 973-754-2000
Mailing address
24 Abbott RdWayne, NJ 07470-5511
Phone 201-248-5989
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