Individual
BRADFORD RUTHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2210 TROY SCHENECTADY RD, SCHENECTADY, NY 12309-4725
(518) 346-9466
Mailing address
PO BOX 130, LATHAM, NY 12110-0130
(518) 786-1291
(518) 786-1293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
153306
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00982536
—
NY
Enumeration date
10/28/2005
Last updated
12/07/2009
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