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Individual
DR. ROSS D RUTKOWSKI
Active
Individual
DR. ROSS D RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1804
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043373981
TAX IDENTIFICATION #
MA
01
—
Y36286
BLUE CROSS PROVIDER ID
MA
Enumeration date
02/28/2007
Last updated
03/03/2016
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