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Organization

JONATHAN RUAN, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN RUAN M.D. (OWNER)
(607) 772-8815
Entity
Organization

Contact information

Practice address
112 MURRAY ST, BINGHAMTON, NY 13905-3707
(607) 772-8815
Mailing address
112 MURRAY ST, BINGHAMTON, NY 13905-3707
(607) 772-8815

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129202
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00421449
NY
Enumeration date
02/28/2008
Last updated
03/18/2008
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