Individual
RUTH PROPHETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 HAWTHORN ST # R, NEW BEDFORD, MA 02740-3429
(508) 961-2403
(508) 961-2406
Mailing address
81 HAWTHORN ST # R, NEW BEDFORD, MA 02740-3429
(508) 961-2403
(508) 961-2406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122416
—
MA
Enumeration date
12/01/2005
Last updated
01/06/2012
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