Individual
ALICIA R RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
57 BEDFORD ST, LEXINGTON, MA 02420-4500
(781) 862-4110
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2312845
MA
363LF0000X
Family Nurse Practitioner
RN2312845
MA
Other
Enumeration date
08/04/2020
Last updated
03/25/2025
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