MEDICARE: DR. DANIEL M. RUTOWICZ DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	2069	MA
2	213EP1101X	Primary Podiatric Medicine Podiatrist	2069	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1261920001	OTHER	MA	DME
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467532812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL M. RUTOWICZ DPM

Provider Business Mailing Address
First Line	:	464 HILLSIDE AVE STE 302
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1228
Country	:	US
Telephone Number	:	781-444-1129
Fax Number	:	718-444-3666

Provider Business Practice Location Address
First Line	:	464 HILLSIDE AVE STE 302
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1228
Country	:	US
Telephone Number	:	781-444-1129
Fax Number	:	718-444-3666

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	11/18/2025

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