Individual
DR. THEODORE RUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
42-8834
VT
2084N0400X
Neurology Physician
Primary
8566
NH
2084N0400X
Neurology Physician
G39466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004683
—
NH
Enumeration date
07/10/2006
Last updated
04/09/2012
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