Ruderman, Neil B.

Ruderman, Neil B. is an individual health care provider with primary practice located at 732 Harrison Ave Preston, 2Nd Floor, Boston MA 02118-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ruderman, Neil B. can be contacted via phone (617) 638-7470.

Contact Information

Primary practice address
732 Harrison Ave Preston, 2Nd Floor Boston MA 02118-2309
Phone: (617) 638-7470
Fax: (617) 638-7449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 34636 Massachusetts

Profile Details

NPI number 1053321844
LBN Legal business name Ruderman, Neil B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 4th, 2014 - about 12 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 1053321844 NPPES
Massachusetts MEDICAID 110036320A

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