Individual
DR. JEREMY NEIL RUSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BIGELOW 109 ELECTROPHYSIOLOGY LAB ARRHYTHMIA SERVICE, BOSTON, MA 02114-2696
(617) 726-8514
(617) 724-6747
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8514
(617) 724-6747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35328
MA
207RC0000X
Cardiovascular Disease Physician
35328
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35328
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034328
TUFTS HEALTH PLAN
MA
05
—
2056224
—
MA
01
—
M09577
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/03/2014
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