Individual
MR. RUBEN OGANESOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 BRIGHTON AVE, ALLSTON, MA 02134-2301
(617) 783-5783
(617) 783-1519
Mailing address
39 BRIGHTON AVE, ALLSTON, MA 02134-2301
(617) 783-5783
(617) 783-1519
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
56569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057291
—
MA
05
—
9762736
—
MA
Enumeration date
05/24/2007
Last updated
07/09/2007
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