| Daniel Rutrick, Md, Pc | |
|
617 Broadway Everett MA 02149-3712 | |
| (617) 387-2220 | |
| (617) 394-0538 |
| Full Name | Daniel Rutrick, Md, Pc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 617 Broadway, Everett, Massachusetts |
| Authorized Official Name and Position | Daniel Rutrick (PRESIDENT) |
| Authorized Official Contact | 6173872220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Rutrick, Md, Pc 617 Broadway Everett MA 02149-3712 Ph: (617) 387-2220 | Daniel Rutrick, Md, Pc 617 Broadway Everett MA 02149-3712 Ph: (617) 387-2220 |
| NPI Number | 1336341502 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336341502 | NPI | - | NPPES |
| M13835 | Other | MA | BLUE CROSS BLUE SHIELD |
| 036462 | Other | MA | TUFTS GROUP NUMBER |
| 500019 | Other | MA | TUFTS PSYCHOLOGIST NUMBER |
| 500064 | Other | MA | TUFTS CERTIFIED NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 36462 (Massachusetts) | Primary |
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Eliot Community Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 Chelsea St, Everett, MA 02149 Phone: 781-388-6200 Fax: 617-387-9768 | |
Eliot Community Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 Chelsea St, Everett, MA 02149 Phone: 781-388-6200 | |
Ralph E Talbot, Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Broadway, Suite 304, Everett, MA 02149 Phone: 617-381-0555 Fax: 949-955-7321 | |
Eliot Community Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Heath St, Everett, MA 02149 Phone: 617-387-5256 | |
Daniel Rutrick Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Broadway, Everett, MA 02149 Phone: 617-387-2220 Fax: 617-394-0538 |