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NPI Code Detail

MEDICARE: DR. GLENN ALDEN RUHL DPM

MEDICARE:  DR. GLENN ALDEN RUHL  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
1213ES0103XFoot & Ankle Surgery Podiatrist1642MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133510OTHERMAHARVARD/PILGRIM PROVIDER
2Y70710OTHERMABLUE/CROSS INDIVIDUAL PRO
3703746OTHERMATUFTS PROVIDER

General Provider Information

NPI Number : 1639175714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLENN ALDEN RUHL DPM
Provider Business Mailing Address
First Line : F4 BLACK OAK DR
Second Line :
City : NASHUA
State : NH
Zip : 03062-2910
Country : US
Telephone Number : 603-888-8030
Fax Number :
Provider Business Practice Location Address
First Line : 479 MAIN ST
Second Line :
City : WOBURN
State : MA
Zip : 01801-7000
Country : US
Telephone Number : 781-935-3828
Fax Number : 781-932-3252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GLENN ALDEN RUHL DPM” Practice Location

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