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Individual

DR. GLENN ALDEN RUHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
479 MAIN ST, WOBURN, MA 01801-7000
(781) 935-3828
(781) 932-3252
Mailing address
F4 BLACK OAK DR, NASHUA, NH 03062-2910
(603) 888-8030

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1642
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33510
HARVARD/PILGRIM PROVIDER
MA
01
703746
TUFTS PROVIDER
MA
01
Y70710
BLUE/CROSS INDIVIDUAL PRO
MA
Enumeration date
06/23/2005
Last updated
07/08/2007
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