Provider Demographics
NPI:1215140256
Name:RUA, ISABEL C (CRT, RPSGT)
Entity type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:C
Last Name:RUA
Suffix:
Gender:F
Credentials:CRT, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4926
Mailing Address - Country:US
Mailing Address - Phone:201-259-0742
Mailing Address - Fax:
Practice Address - Street 1:ONWARD HEALTCARE
Practice Address - Street 2:600 SOUTH LIVINGSTON AVE.
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:800-530-3247
Practice Address - Fax:973-740-9007
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00414100227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified