Provider Demographics
NPI:1487751541
Name:HUGEE, RUTH I
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:I
Last Name:HUGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 GLENGARRY LANE
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2259
Mailing Address - Country:US
Mailing Address - Phone:609-518-5160
Mailing Address - Fax:215-473-1921
Practice Address - Street 1:5070 PARKSIDE AVE
Practice Address - Street 2:SUITE #5101
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4747
Practice Address - Country:US
Practice Address - Phone:215-473-3318
Practice Address - Fax:215-473-1921
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA512063961744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5434630001Medicare ID - Type Unspecified