Individual
DR. ROSS D RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1592 GRAND ARMY HWY, SOMERSET, MA 02726-1210
(508) 673-5400
(508) 673-6336
Mailing address
1592 G.A.R. HWY, SOMERSET, MA 02726-1210
(508) 673-5400
(508) 673-6336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1804
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043373981
TAX IDENTIFICATION #
MA
01
—
Y36286
BLUE CROSS PROVIDER ID
MA
Enumeration date
02/28/2007
Last updated
03/03/2016
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