Provider Demographics
NPI:1790037059
Name:RUANE, EDWARD J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:RUANE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 BOWER HILL ROAD
Mailing Address - Street 2:ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-924-2548
Mailing Address - Fax:
Practice Address - Street 1:1050 BOWER HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1866
Practice Address - Country:US
Practice Address - Phone:412-572-6164
Practice Address - Fax:412-383-8986
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2021-02-23
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Provider Licenses
StateLicense IDTaxonomies
PAMT202146208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery