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Individual

DARYLE A RUARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 ASYLUM AVE, SUITE 2126, HARTFORD, CT 06105-1770
(860) 728-6740
(860) 547-1554
Mailing address
1000 ASYLUM AVE, SUITE 2126, HARTFORD, CT 06105-1770
(860) 728-6740
(860) 547-1554

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
217180
MA
207X00000X
Orthopaedic Surgery Physician
Primary
54150
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2011859
MA
Enumeration date
12/13/2005
Last updated
12/06/2016
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