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NPI Code Detail

MEDICARE: DR. RUTH OWEN MARLIN MD

MEDICARE:  DR. RUTH OWEN MARLIN  MD
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 PhysicianC39823CA

General Provider Information

NPI Number : 1720114390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUTH OWEN MARLIN MD
Provider Business Mailing Address
First Line : 674 VINCENTE AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94707-1524
Country : US
Telephone Number : 415-750-5660
Fax Number : 415-750-4860
Provider Business Practice Location Address
First Line : 450 STANYAN
Second Line : 6TH FLOOR EAST
City : SAN FRANCISCO
State : CA
Zip : 94117-2725
Country : US
Telephone Number : 415-750-5660
Fax Number : 415-750-4860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 08/30/2010

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