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NPI Code Detail

MEDICARE: DR. RUHEE USTA

MEDICARE: DR. RUHEE USTA
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
1183500000XPharmacistPH233510MA

General Provider Information

NPI Number : 1568394096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUHEE USTA
Provider Business Mailing Address
First Line : 40 SKILTON LN
Second Line :
City : BURLINGTON
State : MA
Zip : 01803-2141
Country : US
Telephone Number : 603-997-6390
Fax Number : 603-997-6390
Provider Business Practice Location Address
First Line : 235 N PEARL ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-1794
Country : US
Telephone Number : 603-997-6390
Fax Number : 603-997-6390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DR. RUHEE USTA ” Practice Location

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