Individual
DANIEL RUTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MOUNT AUBURN ST STE 107-109, WATERTOWN, MA 02472-4191
(617) 775-1818
(617) 744-8543
Mailing address
56 SOMERSET RD, WEST NEWTON, MA 02465-2722
(617) 775-1818
(617) 744-8543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36462
MA
Other
Enumeration date
06/27/2006
Last updated
01/09/2015
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