Individual
DR. SUSAN A. RUDDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6117
(617) 730-0310
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6117
(617) 730-0310
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
268858
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268858
LICENSE
MA
01
—
MD13418
LICENSE
RI
Enumeration date
06/05/2008
Last updated
11/09/2016
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