Organization
MT AUBURN THERAPEUTIC ENDOSCOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK W RUYMANN MD (OWNER)
(617) 661-0221
Entity
Organization
Contact information
Practice address
300 MOUNT AUBURN ST, STE 405, CAMBRIDGE, MA 02138-5600
(617) 661-0221
(617) 661-3862
Mailing address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 673-1851
(617) 499-5579
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
71422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052788
—
MA
01
—
M17551
BLUE CROSS GROUP
MA
Enumeration date
11/16/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us