Individual
RUTH YOUNGERMAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5189
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1018980
MA
207P00000X
Emergency Medicine Physician
MD478597
PA
Other
Enumeration date
06/10/2020
Last updated
04/23/2024
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