Basic Information
| Provider Information | |||||||||
| NPI: | 1477622959 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RUEHLI | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1177 PROVIDENCE HIGHWAY | ||||||||
| Address2: | PROVIDER ENROLLMENT 9TH FLOOR | ||||||||
| City: | NORWOOD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7814315429 | ||||||||
| FaxNumber: | 7812785575 | ||||||||
| Practice Location | |||||||||
| Address1: | 1177 PROVIDENCE HIGHWAY | ||||||||
| Address2: | PROVIDER ENROLLMENT 9TH FLOOR | ||||||||
| City: | NORWOOD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7814315429 | ||||||||
| FaxNumber: | 7812785575 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 01/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 155364 | MA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 0020718 | 01 | MA | NEIGHBORHOOD HEALTH PLAN | OTHER | 2431591 | 01 | MA | CIGNA HEALTH CARE | OTHER | J21211 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | AA45245 | 01 | MA | HARVARD PILGRIM HEALTH CA | OTHER | 155346 | 01 | MA | TUFTS HEALTH PLAN | OTHER | 3195295 | 05 | MA | MEDICAID |