Individual
SEWARD BRIAN RUTKOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, TCC-810, BOSTON, MA 02215-5400
(617) 667-8130
Mailing address
330 BROOKLINE AVE, TCC-810, BOSTON, MA 02215-5400
(617) 667-8130
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
80517
MA
2084N0600X
Clinical Neurophysiology Physician
80517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3137660
—
MA
01
—
80517
MASS MEDICAL LICENSE #
MA
Enumeration date
06/09/2006
Last updated
03/01/2011
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