Ruchman, Mark C

Ruchman, Mark C is an sole proprietor health care provider with primary practice located at 1 Reservoir Office Park Ste 203 1449 Old Waterbury Rd, Southbury CT 06488-3926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Ruchman, Mark C can be contacted via phone (203) 264-4000.

Contact Information

Primary practice address
1 Reservoir Office Park Ste 203 1449 Old Waterbury Rd Southbury CT 06488-3926
Phone: (203) 264-4000
Fax: (203) 264-4002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 022088 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 022088 Connecticut

Profile Details

NPI number 1497717680
LBN Legal business name Ruchman, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated May 6th, 2016 - about 9 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 1497717680 NPPES
Connecticut MEDICAID 001220888

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