Individual
RUTA KOTRYNA AUGIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
133 BROOKLINE AVE, PEDIATRIC -TELECOM, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
133 BROOKLINE AVE, PEDIATRIC -TELECOM, BOSTON, MA 02215-3904
(617) 421-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
129597
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
129597
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0376281
—
MA
01
—
39160
HARVARD PILGRIM
MA
01
—
NP9817
BLUE CROSS
MA
Enumeration date
02/10/2006
Last updated
01/28/2021
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