Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA09882300 | NJ |
NPI | 1023242799 |
---|---|
Provider Name | Mrs. Ewa Ruel |
First Address | Pennington, NJ 08534-2521 |
Second Address | Princeton, NJ 08540-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 05/02/2020 |