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Organization

RICHARD R RUTH DO PC

Active
Parent organization
RICHARD R RUTH DO PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RICHARD R RUTH DO PC
Authorized official
DR. RICHARD ROSENBERGER RUTH DO (PHYSICIAN)
(215) 723-7731
Entity
Organization

Contact information

Practice address
200 WEST CHERRY LANE, LOWER LEVEL, SOUDERTON, PA 18964-1987
(215) 723-7731
(215) 723-7855
Mailing address
200 WEST CHERRY LANE, LOWER LEVEL, SOUDERTON, PA 18964-1987
(215) 723-7731
(215) 723-7855

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS001893L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001949545
HIGHMARK
PA
Enumeration date
07/07/2008
Last updated
07/07/2008
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