| Doctor Name: | RUTH M SODERBERG |
| NPI Number: | 1043257637 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 124419 |
| Business Practice Address: | 2007 Bay St Ste 103 Taunton, MA - 027801086 |
| Business Phone Number: | 5088807858 |
| Business Fax Number: | 5088225972 |
| Mailing Address: | 2007 Bay St, Ste 103 TAUNTON |
| State: | MA |
| Postal Code: | 027801086 |
| Phone Number: | 5088807858 |
| Fax Number: | 5088225972 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 06/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 124419 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |