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NPI Code Detail

MEDICARE: DAVID RUTTA MD

MEDICARE: DAVID RUTTA 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
1207RG0100XGastroenterology PhysicianMD041071EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811994452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RUTTA MD
Provider Business Mailing Address
First Line : 517 ASH ST
Second Line :
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-983-0267
Provider Business Practice Location Address
First Line : 517 ASH ST
Second Line :
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-983-0267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/10/2011

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Directions to “ DAVID RUTTA MD” Practice Location

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