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Individual
RUTH M SODERBERG
Active
Individual
RUTH M SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
124419NP
MA
363LA2200X
Adult Health Nurse Practitioner
124419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318116
—
MA
Enumeration date
06/01/2006
Last updated
04/13/2023
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