Individual
NORMAN F. RUTTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-0700
(484) 622-0643
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2355
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
OS002362L
PA
2085R0202X
Diagnostic Radiology Physician
OS002362L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006414180003
—
PA
01
—
0057244000
IBC - PC/KHPE
PA
01
—
00574244000
AMERIHEALTH/INTERCOUNTY
PA
01
—
0064141804
AMERICHOICE (UHC MA PLAN)
PA
01
—
041868
HIGHMARK BLUE SHIELD
PA
01
—
08722-OS002362L
HEALTH PARTNERS
PA
01
—
30005645
KEYSTONE MERCY
PA
01
—
300138321
RRM
PA
01
—
4294628
AETNA
PA
01
—
5654278
CIGNA HMO/PPO
PA
Enumeration date
05/12/2006
Last updated
10/15/2012
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