Provider Demographics
NPI:1730244963
Name:RUTH AUSTIN DO
Entity type:Organization
Organization Name:RUTH AUSTIN DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-538-9440
Mailing Address - Street 1:127 S 5TH ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951
Mailing Address - Country:US
Mailing Address - Phone:215-538-9440
Mailing Address - Fax:215-538-1613
Practice Address - Street 1:127 S 5TH ST
Practice Address - Street 2:SUITE 180
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951
Practice Address - Country:US
Practice Address - Phone:215-538-9440
Practice Address - Fax:215-538-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004913L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
080793Medicare ID - Type Unspecified
D72409Medicare UPIN