Provider Demographics
NPI:1255379806
Name:RUBY, RHONDA NATANBLUT (MS)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:NATANBLUT
Last Name:RUBY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 WASHINGTON ST
Mailing Address - Street 2:P.O. BOX 650038
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2001
Mailing Address - Country:US
Mailing Address - Phone:617-332-7244
Mailing Address - Fax:617-620-2362
Practice Address - Street 1:1298 WASHINGTON ST
Practice Address - Street 2:WEST NEWTON HEARING CENTER
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2001
Practice Address - Country:US
Practice Address - Phone:617-332-7244
Practice Address - Fax:617-630-8244
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
605850OtherHCHP
AD0007OtherBLUE CROSS BLUE SHIELD
760223OtherTUFTS
AD0007OtherBLUE CROSS BLUE SHIELD