Ruth A Dwyer
Adolescent Medicine
1161 Omega Dr
Hagerstown
, Maryland 21740-5574
Ruth A Dwyer
Adolescent Medicine
1161 Omega Dr
Hagerstown
, Maryland 21740-5574
(301) 393-2614
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Ruth A Dwyer
- 1161 Omega Dr
- Hagerstown, MD
- Zip : 21740-5574
- Fax : (301) 393-2614
- Phone : (301) 393-2600
Second Address
- Ruth A Dwyer
- 1161 Omega Dr
- Hagerstown, MD
- Zip : 21740-5574
- Fax : (301) 393-2614
- Phone : (301) 393-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | D52105 | MD |
National Provider Identifier
| NPI | 1255323168 |
|---|---|
| Provider Name | Ruth A Dwyer |
| First Address | Hagerstown, MD 21740-5574 |
| Second Address | Hagerstown, MD 21740-5574 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 15/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 178800100 | (05) | MD |
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.