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NPI Code Detail

MEDICARE: THOMAS K RUTH MD

MEDICARE:   THOMAS K RUTH  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 Physician032497EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19120903001OTHERPACIGNA PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3695281OTHERPAAETNA US HEALTHCARE PROVI

General Provider Information

NPI Number : 1851395818
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS K RUTH MD
Provider Business Mailing Address
First Line : PO BOX 829641
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-0001
Country : US
Telephone Number : 267-370-5296
Fax Number : 215-230-3725
Provider Business Practice Location Address
First Line : 1456 FERRY RD UNIT 600
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2395
Country : US
Telephone Number : 215-230-8390
Fax Number : 215-230-8392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 08/06/2020

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