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Individual
THOMAS K RUTH
Active
Individual
THOMAS K RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032497E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010546140001
—
PA
01
—
695281
AETNA US HEALTHCARE PROVI
PA
01
—
9120903001
CIGNA PROVIDER NUMBER
PA
Enumeration date
06/08/2005
Last updated
08/06/2020
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