National Provider Identifier
Gustave Theodore Ruckert, M.D.
Gustave Theodore Ruckert, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Rochester, NY and a listed phone number of (585) 232-3210.
Profile Overview
- NPI
- 1962574806
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- November 15, 2006
- Last Updated
- July 09, 2007
Practice Location
- 990 South Ave
- Suite 103
- Rochester, NY 14620-2740
Phone: (585) 232-3210
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1962574806
- Entity Type
- Individual
- Last Name
- Ruckert
- First Name
- Gustave
- Middle Name
- Theodore
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Ruckert
- Provider Other First Name
- G. Theodore
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 990 South Ave
- Mailing Address Line 2
- Suite 103
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2740
- Mailing Country
- US
- Mailing Phone
- (585) 232-3210
- Mailing Fax
- (585) 232-4657
- Practice Street Address
- 990 South Ave
- Practice Address Line 2
- Suite 103
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2740
- Practice Country
- US
- Practice Phone
- (585) 232-3210
- Practice Fax
- (585) 232-4657
- Enumeration Date
- November 15, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 00471843 (NY)