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Individual

PAMELA HELLERMAN RUTKOSKI

Active
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Individual

PAMELA HELLERMAN RUTKOSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD034656E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03232501
CAPITAL BLUE CROSS
PA
01
—
080154392
RAILROAD MEDICARE
PA
05
—
101876215 0002
—
PA
01
—
118438707
DEPARTMENT OF LABOR
PA
01
—
232809429
TRICARE
PA
01
—
487654
BLUE SHIELD
PA
01
—
70209C245
GEISINGER
PA
01
—
B42266
HEALTH AMERICA
PA
Enumeration date
07/18/2006
Last updated
05/13/2014
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