Provider Demographics
NPI:1477622959
Name:RUEHLI, MONICA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:RUEHLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 PROVIDENCE HIGHWAY
Mailing Address - Street 2:PROVIDER ENROLLMENT 9TH FLOOR
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-431-5429
Mailing Address - Fax:781-278-5575
Practice Address - Street 1:1177 PROVIDENCE HIGHWAY
Practice Address - Street 2:PROVIDER ENROLLMENT 9TH FLOOR
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-431-5429
Practice Address - Fax:781-278-5575
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155364207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0020718OtherNEIGHBORHOOD HEALTH PLAN
MA2431591OtherCIGNA HEALTH CARE
MAJ21211OtherBLUE CROSS BLUE SHIELD
MAAA45245OtherHARVARD PILGRIM HEALTH CA
MA155346OtherTUFTS HEALTH PLAN
MA3195295Medicaid
MA2431591OtherCIGNA HEALTH CARE
MA0020718OtherNEIGHBORHOOD HEALTH PLAN