Individual
DR. SUSAN EDITH RUSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 RIVER ST, WELLESLEY, MA 02481-2098
(781) 647-0496
Mailing address
PO BOX 342, WESTON, MA 02493-0002
(781) 647-0496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
59869
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J07838
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/12/2006
Last updated
07/08/2007
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