Provider Demographics
NPI:1043698004
Name:RUHE, ALLISON REBECCA (PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:REBECCA
Last Name:RUHE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 WELLS AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3216
Mailing Address - Country:US
Mailing Address - Phone:844-744-4200
Mailing Address - Fax:781-290-4250
Practice Address - Street 1:95 WELLS AVE STE 320
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-3216
Practice Address - Country:US
Practice Address - Phone:844-744-4200
Practice Address - Fax:781-290-4250
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA5310363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant