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Contact Information

SUSAN A RUDDERS, MD
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-6117
 Fax: 617-730-0310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN A RUDDERS · (Female)

NPI # 1528227303
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2008
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 268858
  • MA Other 268858 LICENSE
  • RI Other MD13418 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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