Provider Demographics
NPI:1407931645
Name:TATZ, RUTH BARBARA (RN)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:BARBARA
Last Name:TATZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 FERNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057
Mailing Address - Country:US
Mailing Address - Phone:856-778-4474
Mailing Address - Fax:
Practice Address - Street 1:317 BROADWAY
Practice Address - Street 2:PLANNED PARENTHOOD OF SOUTHERN NEW JERSEY
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-365-3519
Practice Address - Fax:856-365-9215
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO069541OO163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse