Individual
RENATA RATUSZNIK-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 HARRISON AVE, YAWKEY 2, BOSTON, MA 02118-4072
(617) 414-2080
(617) 414-2090
Mailing address
67 UNION ST, # 303, NATICK, MA 01760-7700
(617) 414-4465
(617) 414-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
159545
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3202895
—
MA
Enumeration date
02/14/2006
Last updated
12/03/2018
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