Individual
BENJAMIN RUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(570) 335-7274
Mailing address
531 CLAY AVE, SCRANTON, PA 18510-2120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01093422A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
06/12/2024
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