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NPI Code Detail

MEDICARE: DR. ROBERT J RUXIN MD

MEDICARE: DR. ROBERT J 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
12084P0800XPsychiatry PhysicianG81002CA
22084P0800XPsychiatry PhysicianMD26897ME

General Provider Information

NPI Number : 1043255730
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J RUXIN MD
Provider Business Mailing Address
First Line : 610 MORRIS WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-6175
Country : US
Telephone Number : 916-949-4761
Fax Number :
Provider Business Practice Location Address
First Line : 6 GLEN COVE DR
Second Line :
City : ROCKPORT
State : ME
Zip : 04856-4272
Country : US
Telephone Number : 207-921-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 04/03/2023

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