Provider Demographics
NPI:1285797183
Name:RUMA, CATHERINE E (MAOM, LICAC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:RUMA
Suffix:
Gender:F
Credentials:MAOM, LICAC
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:E
Other - Last Name:RUMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAOM, LICAC
Mailing Address - Street 1:184 BUNKER HILL ST
Mailing Address - Street 2:#2
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-2563
Mailing Address - Country:US
Mailing Address - Phone:617-372-3960
Mailing Address - Fax:781-648-0514
Practice Address - Street 1:180 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8448
Practice Address - Country:US
Practice Address - Phone:617-372-3960
Practice Address - Fax:781-648-0514
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219559171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist