Individual
PHILLIP RUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3860
MA
Other
Enumeration date
06/19/2007
Last updated
11/22/2010
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