Individual
MR. GEORGE E RUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 GILBERT ST, SUITE 3, CAMBRIDGE, NY 12816-2643
(518) 677-8575
(518) 677-2580
Mailing address
290 BROWNELL HOLLOW RD, EAGLE BRIDGE, NY 12057-2709
(518) 677-3040
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
145246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00765619
—
NY
Enumeration date
01/11/2006
Last updated
02/12/2011
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