Organization
JOHN A. RUTH, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A RUTH JR. M.D., P.A. (PRESIDENT)
(410) 366-5775
Entity
Organization
Contact information
Practice address
125 AIRPORT DR, SUITE 34, WESTMINSTER, MD 21157-3024
(410) 840-3336
Mailing address
3333 N CALVERT ST, SUITE 530, BALTIMORE, MD 21218-2867
(410) 366-5775
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D38499
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530911500
—
MD
Enumeration date
03/03/2010
Last updated
03/03/2010
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