Ruddock, Heather

Ruddock, Heather is an individual health care provider with primary practice located at 2000 Hamilton St Ste 301 , Philadelphia PA 19130-3874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ruddock, Heather can be contacted via phone (215) 774-1166.

Contact Information

Primary practice address
2000 Hamilton St Ste 301 Philadelphia PA 19130-3874
Phone: (215) 774-1166
Fax: (215) 279-8383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD056728 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08898000 New Jersey

Profile Details

NPI number 1780631846
LBN Legal business name Ruddock, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Mar 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780631846 NPPES
Pennsylvania MEDICAID 01670460

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