Individual
DEBORAH E RUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
141 DAYTON ST, RIDGEWOOD, NJ 07450-4496
(201) 447-6468
(201) 447-3189
Mailing address
141 DAYTON ST, RIDGEWOOD, NJ 07450-4496
(201) 447-6468
(201) 447-3189
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA59748
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123AR1
EMPIRE BC/BS#
NJ
01
—
13126
AMERIGROUP#
NJ
01
—
2K3154
HEALTHNET#
NJ
01
—
3275469
AETNA HMO#
NJ
01
—
4462067
AETNA PPO#
NJ
01
—
8221652
GHI PPO#
NJ
01
—
91002075400
AMERICHOICE#
NJ
01
—
P00019587
RAILROAD MEDICARE#
NJ
01
—
P958608
OXFORD#
NJ
Enumeration date
04/26/2006
Last updated
10/29/2008
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