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NPI Code Detail

MEDICARE: DR. LUZ J RUIZ MD

MEDICARE: DR. LUZ J RUIZ 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
12084N0400XNeurology Physician213627MA

General Provider Information

NPI Number : 1497789325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUZ J RUIZ MD
Provider Business Mailing Address
First Line : 18 SINCLAIR RD
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-3992
Country : US
Telephone Number : 978-772-3880
Fax Number : 978-772-9589
Provider Business Practice Location Address
First Line : 325 AYER RD
Second Line : SUITE B-120
City : HARVARD
State : MA
Zip : 01451-1132
Country : US
Telephone Number : 978-772-3880
Fax Number : 978-784-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 09/07/2011

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