Organization
GLENN A RUHL, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A RUHL DPM (PRESIDENT)
(781) 935-3828
Entity
Organization
Contact information
Practice address
479 MAIN ST, WOBURN, MA 01801-7000
(781) 935-3828
(781) 932-3252
Mailing address
479 MAIN ST, WOBURN, MA 01801-7000
(781) 935-3828
(781) 932-3252
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y77113
BLUECROSS GROUP
MA
Enumeration date
01/03/2007
Last updated
08/22/2020
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