Rutkove, Seward Brian
Rutkove, Seward Brian is an individual health care provider with primary practice located at 330 Brookline Ave Tcc-810, Boston MA 02215-5400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Rutkove, Seward Brian can be contacted via phone (617) 667-8130.Contact Information
Primary practice address
330 Brookline Ave Tcc-810
Boston MA 02215-5400
Phone: (617) 667-8130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 80517 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 80517 | Massachusetts |
Profile Details
| NPI number | 1467493809 |
|---|---|
| LBN Legal business name | Rutkove, Seward Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Mar 1st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467493809 | NPPES |
| Massachusetts | MEDICAID | 3137660 | |
| Massachusetts | Other | 80517 |
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