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Individual

DR. GLENN EDWARD RUGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC DABCN

Contact information

Practice address
1002 KINDERHOOK ST, VALATIE, NY 12184
(518) 758-1400
(518) 758-1438
Mailing address
1002 KINDERHOOK ST, VALATIE, NY 12184
(518) 758-1400
(518) 758-1438

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003102 1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C031023
WORKERS COMP NO FAULT
NY
Enumeration date
01/25/2006
Last updated
08/22/2007
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