Federal Bureau of Prisons

NPI #1053644773 in Devens, Massachusetts

Provider Information

NPI Number: 1053644773
Entity Type: Organization
Organization Name: Federal Bureau of Prisons
Subpart: Yes (part of a larger organization)
Parent Organization: FEDERAL BUREAU OF PRISONS
Primary Specialty: Clinic/Center
Enumeration Date: Sep 14, 2009
Last Updated: Feb 4, 2022

Practice Location

Address: 42 PATTON RD
City: Devens
State: Massachusetts
ZIP Code: 01432
Phone: (978) 796-1411

Authorized Official

Name: DR. PATRICIA RUZE, MD
Title: ACTING CLINICAL DIRECTOR
Phone: (978) 796-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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