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Contact Information

DANIEL RUTRICK, MD, PC
617 BROADWAY
EVERETT, MA02149-3712
 Phone: 617-387-2220
 Fax: 617-394-0538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DANIEL RUTRICK, MD, PC

NPI # 1336341502
LBN Legal business name DANIEL RUTRICK, MD, PC
Authorized official DANIEL RUTRICK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MA License # 36462
MA Other M13835 BLUE CROSS BLUE SHIELD
MA Other 500064 TUFTS CERTIFIED NURSE
MA Other 036462 TUFTS GROUP NUMBER
MA Other 500019 TUFTS PSYCHOLOGIST NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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