Dr. Corey Kades Ruth
Sports Medicine Doctor
1500 Market Street 24th Floor-West Tower
Philadelphia
, Pennsylvania 19102
Dr. Corey Kades Ruth
Sports Medicine Doctor
1500 Market Street 24th Floor-West Tower
Philadelphia
, Pennsylvania 19102
(215) 988-0722
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Corey Kades Ruth
- 227 N Broad St Suite 300
- Philadelphia, PA
- Zip : 19107-1511
- Fax : (215) 988-0722
- Phone : (215) 988-0611
Second Address
- Dr. Corey Kades Ruth
- 1500 Market Street 24th Floor-West Tower
- Philadelphia, PA
- Zip : 19102
- Fax : (215) 255-3577
- Phone : (215) 255-3828
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MD027112E | PA |
National Provider Identifier
| NPI | 1659339232 |
|---|---|
| Provider Name | Dr. Corey Kades Ruth |
| First Address | Philadelphia, PA 19107-1511 |
| Second Address | Philadelphia, PA 19102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 20/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1045080 | (05) | PA |
| 420144 | (02) | PA |
| C31327 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.