Individual
DR. LYNN RUTH GRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 CENTRE ST, STE 204, NEWTON CENTER, MA 02459
(617) 795-7130
(617) 795-0953
Mailing address
1340 CENTRE ST STE 204, NEWTON CENTRE, MA 02459-2453
(617) 795-7130
(617) 795-0953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
76631
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
76631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3182509
—
MA
01
—
760741
TUFTS HEALTH PLAN
MA
01
—
J19237
BCBS MA
MA
Enumeration date
02/23/2006
Last updated
08/13/2009
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