Provider Demographics
NPI:1720114390
Name:MARLIN, RUTH OWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:OWEN
Last Name:MARLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 VINCENTE AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1524
Mailing Address - Country:US
Mailing Address - Phone:415-750-5660
Mailing Address - Fax:415-750-4860
Practice Address - Street 1:450 STANYAN
Practice Address - Street 2:6TH FLOOR EAST
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-2725
Practice Address - Country:US
Practice Address - Phone:415-750-5660
Practice Address - Fax:415-750-4860
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine