Provider Demographics
NPI:1114117553
Name:RUCHELSMAN, DAVID EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EVAN
Last Name:RUCHELSMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:BLUE 201
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-965-4263
Mailing Address - Fax:617-928-0597
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:BLUE 201
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-965-4263
Practice Address - Fax:617-928-0597
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2014-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236891207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery