Individual
MR. BRENNAN RUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5924
(781) 861-0890
Mailing address
37 MUNROE ST APT 2, SOMERVILLE, MA 02143-2034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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