Individual
RAUL D RUDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 60TH ST, WEST NEW YORK, NJ 07093-2824
(347) 996-9422
Mailing address
230 60TH ST, WEST NEW YORK, NJ 07093-2824
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MA39697
NJ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
143179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6404405
—
NJ
Enumeration date
07/21/2006
Last updated
02/09/2011
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