Individual
DR. RUBEN PERALTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF SURGICAL CRITICAL CARE, WORCESTER, MA 01655-0002
(508) 856-5288
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
207831
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105465
—
MA
Enumeration date
11/05/2005
Last updated
07/08/2007
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