Female

Kirsten A. Ruhl PA-C

Physician Assistant in Nutley, NJ(View on Map)

Full Name

Kirsten A. Ruhl PA-C

NPI Number

1003221193

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2014

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey
New York

License Number

25MP00348900
017609

Contact
Information

Purpose

Mailing
Location

Address

111 MALTESE DR
249 FRANKLIN AVE

City

Middletown
Nutley

State

NY
NJ

Postal Code

10940-2115
07110-2115

Country

US
US

Telephone Number

(845) 342-4774
(845) 342-4774

Identifiers

Identifier

017609

Identifier State

NY

Identifier Issuer

NYS LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/05/2019

Provider Address

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