Individual
MAIA RUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE MEDICAL CENTER DR, DARTMOUTH HITCHCOCK MED CTR EMERGENCY DPTMT, LEBNON, NH 03756-0001
(603) 650-7254
(603) 650-0473
Mailing address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK MED CTR DEPARTMENT OF PEDIATRICS, LEBANON, NH 03756-0001
(603) 650-7254
(603) 650-0473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13562
NH
208000000X
Pediatrics Physician
MD11521
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057260
—
RI
Enumeration date
07/29/2006
Last updated
05/13/2008
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