Provider Demographics
NPI:1366491607
Name:RUHS, BARBARA (RD)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:RUHS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 E BERYL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3713
Mailing Address - Country:US
Mailing Address - Phone:617-492-4995
Mailing Address - Fax:617-849-5577
Practice Address - Street 1:373 HIGHLAND AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2553
Practice Address - Country:US
Practice Address - Phone:617-492-4995
Practice Address - Fax:617-849-5577
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1442133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAMT0541Medicare ID - Type UnspecifiedREGISTERED DIETICIAN