Individual
MADISON MARLISA RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2120 L ST NW STE 700, WASHINGTON, DC 20037-1543
(202) 331-9293
(410) 584-1739
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-008016
VA
Other
Enumeration date
08/25/2021
Last updated
11/29/2023
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