Organization
KENNETH H. RUDOLPH, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H RUDOLPH MD (OWNER)
(570) 343-3999
Entity
Organization
Contact information
Practice address
802 JEFFERSON AVE, SCRANTON, PA 18510-1038
(570) 343-3999
(570) 343-2749
Mailing address
802 JEFFERSON AVE, SCRANTON, PA 18510-1038
(570) 343-3999
(570) 343-2749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
06/09/2008
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