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Individual

RUTH M SODERBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2007 BAY ST, STE 103, TAUNTON, MA 02780-1086
(508) 880-7858
(508) 822-5972
Mailing address
2007 BAY ST, STE 103, TAUNTON, MA 02780-1086
(508) 880-7858
(508) 822-5972

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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