Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY G RUDDAT, MD
Active Sole ProprietorDR. MARY G RUDDAT, MD is a Pain Medicine healthcare provider located in WEST HARTFORD, Connecticut. NPI 1366868168 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine · WEST HARTFORD, CT
Registration Details
- NPI Number
- 1366868168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2014 (12.433103267784 yrs)
- Last Updated
- Mar 17, 2014
- License
-
034406 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 SUNNY REACH DRWEST HARTFORD, CT, 061171531Browse CT providers · Browse ZIP 06117
- Phone
- 8602336067
- Primary Specialty
-
Pain Medicine
207LP3000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.