Dr. Keith R Ruppel
M.D. | Pediatric Adolescent Medicine | Male
Dr. Keith R Ruppel, M.D. is a East Longmeadow, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Keith R Ruppel is
15 Vreeland Ave, East Longmeadow, Massachusetts - 01028-1631. He can be contacted on phone at
413-787-2555 and fax number 413-787-9992.
Dr. Keith R Ruppel is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Keith R Ruppel is
1962499269 which was assigned by NPPES on 02 Oct, 2005 and it was last updated on 13 Dec, 2011.
Dr. Keith R Ruppel license number is
78845 for Pediatrics Adolescent Medicine (2080A0000X) in Massachusetts.
Dr. Keith R Ruppel specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Keith R Ruppel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Keith R Ruppel |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Keith R Ruppel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15 Vreeland Ave
East Longmeadow, MA, 01028-1631
United States |
|---|
| Phone Number : | 413-787-2555 |
|---|
| Fax Number : | 413-787-9992 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1962499269 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Oct, 2005 |
|---|
| Last Updated On : | 13 Dec, 2011 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith R Ruppel are as mentioned. Primary taxonomy code for Dr. Keith R Ruppel, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 78845 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Keith R Ruppel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3151492 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15 Vreeland Ave
East Longmeadow, MA, 01028-1631
United States |
|---|
| Phone Number : | 413-787-2555 |
|---|
| Fax Number : | 413-787-9992 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Keith R Ruppel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.