Provider Demographics
NPI:1376583880
Name:HILLELSON, RUTH L (MD)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:L
Last Name:HILLELSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9930 INDEPENDENCE PARK DR
Mailing Address - Street 2:STE 101
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1475
Mailing Address - Country:US
Mailing Address - Phone:804-290-0060
Mailing Address - Fax:804-290-0206
Practice Address - Street 1:9900 INDEPENDENCE PARK DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-1473
Practice Address - Country:US
Practice Address - Phone:804-290-0060
Practice Address - Fax:804-290-0206
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2016-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101034668208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
240000260Medicare ID - Type Unspecified