Individual
DR. MARCELLA KUHLMAN RUDDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST WAC 709, PULMONARY CRITICAL CARE CF, BOSTON, MA 02114-3117
(617) 726-1721
(617) 726-6878
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
78451
MA
207RP1001X
Pulmonary Disease Physician
Primary
78451
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078451
TUFTS HEALTH PLAN
MA
05
—
3144658
—
MA
01
—
J31569
BCBS MA
MA
Enumeration date
03/23/2006
Last updated
09/11/2025
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