Individual
JONATHAN RUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MURRAY ST, BINGHAMTON, NY 13905-3707
(607) 772-8811
(607) 724-5922
Mailing address
112 MURRAY ST, BINGHAMTON, NY 13905-3707
(607) 772-8811
(607) 724-5922
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
09/09/2005
Last updated
03/18/2008
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