Provider Demographics
NPI:1023203544
Name:ARNOLD, RUTH M (DO)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:M
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2007
Mailing Address - Country:US
Mailing Address - Phone:610-567-6964
Mailing Address - Fax:610-567-6170
Practice Address - Street 1:831 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-2921
Practice Address - Country:US
Practice Address - Phone:610-394-1234
Practice Address - Fax:610-284-4811
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013672207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1757288OtherAETNA HMO
PA2863900000OtherKEYSTONE HEALTH PLAN EAST
PA1988289OtherBLUE SHIELD
PA9182082OtherAETNA HMO PCP
PA102035385001Medicaid
PA117348SA3Medicare PIN