# REUVEN RUDICH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487928933
- **Authorized official:** DR. REUVEN RUDICH MD (PRESIDENT)
- **Authorized official phone:** (203) 374-6400

## Contact information

- **Practice address:** 4699 MAIN ST, SUITE 202, BRIDGEPORT, CT 06606-1830
- **Practice address phone:** (203) 374-6400
- **Practice address fax:** (203) 371-6018
- **Mailing address:** 4699 MAIN ST, SUITE 202, BRIDGEPORT, CT 06606-1830
- **Mailing address phone:** (203) 374-6400
- **Mailing address fax:** (203) 371-6018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0024240 | CT | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012