Dr Mary G Ruddat, MD is a
Anesthesiology - Pediatric Anesthesiology physician based in West Hartford, Connecticut. Dr Mary G Ruddat is licensed to practice in Connecticut (license number 034406) and her current practice location is 69 Sunny Reach Dr, West Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 233-6067.
NPI number for Dr Mary G Ruddat is 1366868168 and her current mailing address is 69 Sunny Reach Dr, West Hartford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366868168.
Physician's Profile
| Full Name | Dr Mary G Ruddat |
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| Gender | Female |
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| Speciality | Anesthesiology - Pediatric Anesthesiology |
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| Location | 69 Sunny Reach Dr, West Hartford, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366868168
- Provider Enumeration Date: 03/17/2014
- Last Update Date: 03/17/2014
Medical Identifiers
Medical identifiers for Dr Mary G Ruddat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366868168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 034406 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary G Ruddat is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mary G Ruddat, MD
69 Sunny Reach Dr,
West Hartford, CT 06117-1531
Ph: (860) 233-6067 | Dr Mary G Ruddat, MD
69 Sunny Reach Dr,
West Hartford, CT 06117-1531
Ph: (860) 233-6067 |
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