Individual
MATTHEW P RUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, 11TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-0114
(212) 305-0116
Mailing address
161 FORT WASHINGTON AVE, 11TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-0114
(212) 305-0116
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
235822
NY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
235822
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02645201
—
NY
Enumeration date
06/20/2006
Last updated
07/17/2015
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