Individual
DR. MARY G RUDDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
69 SUNNY REACH DR, WEST HARTFORD, CT 06117-1531
(860) 233-6067
Mailing address
69 SUNNY REACH DR, WEST HARTFORD, CT 06117-1531
(860) 233-6067
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
034406
CT
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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