MEDICARE: ROBERT L RUXIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	17740	CT

General Provider Information

NPI Number	:	1316042104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT L RUXIN MD

Provider Business Mailing Address
First Line	:	30 PROSPECT ST
Second Line	:	SUITE 300
City	:	RIDGEFIELD
State	:	CT
Zip	:	06877-4514
Country	:	US
Telephone Number	:	203-438-7339
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 PROSPECT ST
Second Line	:	SUITE 300
City	:	RIDGEFIELD
State	:	CT
Zip	:	06877-4514
Country	:	US
Telephone Number	:	203-438-7339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	04/17/2026

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