Provider Demographics
NPI:1154386910
Name:WOOLCOCK, RUTH B (MD)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:B
Last Name:WOOLCOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:640 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3570
Mailing Address - Country:US
Mailing Address - Phone:724-357-7196
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:15 S 8TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2776
Practice Address - Country:US
Practice Address - Phone:724-349-8311
Practice Address - Fax:724-349-8331
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD040660E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAA72365Medicare UPIN
PA486313NWBMedicare PIN