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NPI Code Detail

MEDICARE: MRS. RUTH B. WOOLCOCK M.D.

MEDICARE:  MRS. RUTH B. WOOLCOCK  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD040660EPA

General Provider Information

NPI Number : 1154386910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH B. WOOLCOCK M.D.
Provider Business Mailing Address
First Line : 640 KOLTER DR
Second Line :
City : INDIANA
State : PA
Zip : 15701-3570
Country : US
Telephone Number : 724-357-7196
Fax Number : 724-357-7279
Provider Business Practice Location Address
First Line : 15 S 8TH ST
Second Line : SUITE 201
City : INDIANA
State : PA
Zip : 15701-2776
Country : US
Telephone Number : 724-349-8311
Fax Number : 724-349-8331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 05/10/2021

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Directions to “ MRS. RUTH B. WOOLCOCK M.D.” Practice Location

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