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Individual
SCOTT RUDKIN
Active
Individual
SCOTT RUDKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD471816
PA
208600000X
Surgery Physician
LP03429
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15161536
CAQH
—
Enumeration date
05/15/2015
Last updated
01/03/2022
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