MEDICARE: RUTH A. SALKIN,OD.PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332H00000X	Eyewear Supplier
2	152WC0802X	Corneal and Contact Management Optometrist
3	152WP0200X	Pediatric Optometrist
4	152WV0400X	Vision Therapy Optometrist
5	152W00000X	Optometrist

General Provider Information

NPI Number	:	1033260088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTH A. SALKIN,OD.PA

Provider Business Mailing Address
First Line	:	422 PASCACK ROAD
Second Line	:
City	:	WASHINGTON TOWNSHIP
State	:	NJ
Zip	:	07676-4837
Country	:	US
Telephone Number	:	201-664-4477
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 PASCACK ROAD
Second Line	:
City	:	WASHINGTON TOWNSHIP
State	:	NJ
Zip	:	07676-4837
Country	:	US
Telephone Number	:	201-664-4477
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RUTH A SALKIN
Credential	:
Telephone Number	:	201-664-4477

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	01/26/2010

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