Most Relevant Information
Provider Data
| NPI Number: | 1003221193 |
| Provider Name: | KIRSTEN A. RUHL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 017609 |
Most Important Dates
| Enumeration Date: | 06/26/2014 |
| Last Updated: | 07/05/2019 |
Provider Practice Location
249 FRANKLIN AVE
NUTLEY
NJ
071102115
Practice Location Phone/Fax
| Phone: | 8453424774 |
| Fax: | 8453438741 |
Provider Mailing Location
111 MALTESE DR
MIDDLETOWN
NY
109402115
Provider Mailing Phone/Fax
| Phone: | 8453424774 |
| Fax: | 8453438741 |