Individual
DR. COREY KADES RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 MARKET STREET, 24TH FLOOR-WEST TOWER, PHILADELPHIA, PA 19102
(215) 255-3828
(215) 255-3577
Mailing address
227 N BROAD ST, SUITE 300, PHILADELPHIA, PA 19107-1511
(215) 988-0611
(215) 988-0722
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MD027112E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045080
—
PA
Enumeration date
05/03/2006
Last updated
11/20/2015
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