Provider Demographics
NPI:1033260088
Name:RUTH A. SALKIN,OD.PA
Entity Type:Organization
Organization Name:RUTH A. SALKIN,OD.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-664-4477
Mailing Address - Street 1:422 PASCACK ROAD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07676-4837
Mailing Address - Country:US
Mailing Address - Phone:201-664-4477
Mailing Address - Fax:
Practice Address - Street 1:422 PASCACK ROAD
Practice Address - Street 2:
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07676-4837
Practice Address - Country:US
Practice Address - Phone:201-664-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty