Active NPIIndividual providerSole proprietor

Dr. Mark C Ruchman, MD

Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Southbury, Connecticut

NPI Number1497717680
Practice location
1 Reservoir Office Park Ste 203, 1449 Old Waterbury RD, Southbury, CT 06488-3926
Fax
203-264-4002
Last updated
May 6, 2016

Mark C Ruchman is an Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery based in Southbury, CT. Mark C Ruchman practices in Southbury, CT and has the professional credentials of MD. The NPI Number for Mark C Ruchman is 1497717680 and holds a License No. 022088 (CT). The current practice location address for Mark C Ruchman is 1 Reservoir Office Park Ste 203, 1449 Old Waterbury RD, Southbury, CT 06488-3926 and can be reached out via phone at 203-264-4000 and via fax at 203-264-4002.

Provider Profile Details

NPI Number
1497717680
Provider Name
Mark C Ruchman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Reservoir Office Park Ste 203, 1449 Old Waterbury RD, Southbury, CT 06488-3926
Phone Number
203-264-4000
Fax Number
203-264-4002
Sole Proprietor
Yes
Provider Enumeration Date
April 4, 2006
Last Update Date
May 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Reservoir Office Park Ste 203
1449 Old Waterbury RD
Southbury, CT 06488-3926
Zip
06488-3926
Phone Number
203-264-4000
Fax Number
203-264-4002
Southbury, CT 06488Get directions →

Provider Business Mailing Address Details

Address
1 Reservoir Office Park Ste 203
1449 Old Waterbury RD
Southbury, CT 06488-3926
City
Southbury
State
CT
Zip
06488-3926
Phone Number
203-264-4000
Fax Number
203-264-4002

License Information

License Number (1)
022088
License State (1)
CT
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
022088
License State (2)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark C Ruchman, MD?

The NPI number of Dr. Mark C Ruchman, MD is 1497717680. It was assigned on April 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark C Ruchman, MD?

Dr. Mark C Ruchman, MD is registered under the primary taxonomy Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (code 207WX0200X), licensed in CT under license number 022088.

Where does Dr. Mark C Ruchman, MD practice?

The practice location is 1 Reservoir Office Park Ste 203, 1449 Old Waterbury RD, Southbury, CT 06488-3926. The office can be reached at 203-264-4000 (phone) or 203-264-4002 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497717680 directly on the NPPES registry website.

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