Seward Brian Rutkove
Neurologist Clinical Neurophysiologist
330 Brookline Ave Tcc-810
Boston
, Massachusetts 02215-5400
Seward Brian Rutkove
Neurologist Clinical Neurophysiologist
330 Brookline Ave Tcc-810
Boston
, Massachusetts 02215-5400
(617) 667-8130
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About
Features
Specialties
- Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Seward Brian Rutkove
- 330 Brookline Ave Tcc-810
- Boston, MA
- Zip : 02215-5400
- Phone : (617) 667-8130
Second Address
- Seward Brian Rutkove
- 330 Brookline Ave Tcc-810
- Boston, MA
- Zip : 02215-5400
- Phone : (617) 667-8130
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 80517 | MA |
| N | 2084N0600X | Clinical Neurophysiologist | 80517 | MA |
National Provider Identifier
| NPI | 1467493809 |
|---|---|
| Provider Name | Seward Brian Rutkove |
| First Address | Boston, MA 02215-5400 |
| Second Address | Boston, MA 02215-5400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 01/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3137660 | (05) | MA |
| 80517 | MASS MEDICAL LICENSE # (01) | MA |
| G01218 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.