Provider Demographics
NPI:1437491404
Name:HE, RU (PA-C)
Entity Type:Individual
Prefix:
First Name:RU
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:1555 W STREET RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3100
Mailing Address - Country:US
Mailing Address - Phone:215-293-9560
Mailing Address - Fax:215-293-9562
Practice Address - Street 1:1555 W STREET RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3100
Practice Address - Country:US
Practice Address - Phone:215-293-9560
Practice Address - Fax:215-293-9562
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056059363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical