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Individual

SAMUEL R RUBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BARTOL AVE, SUITE 10, RIDLEY PARK, PA 19078
(610) 521-0150
(610) 521-6493
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(610) 521-0150
(610) 521-0567

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD021993E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD021993E
PA

Other

Enumeration date
08/15/2005
Last updated
07/14/2023
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