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Individual

DANIELLE LYNN RUTHBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1275 SUMMER ST STE 306, STAMFORD, CT 06905-5315
(203) 978-5775
Mailing address
10 S AMUNDSEN LN, AIRMONT, NY 10901-7518
(845) 558-6958

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12071
CT

Other

Enumeration date
07/26/2023
Last updated
07/26/2023
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