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Individual

DR. JENNIFER NELL RUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
90 WASHINGTON ST, SUITE 213, EAST ORANGE, NJ 07017-1050
(973) 674-5726
(973) 674-5920
Mailing address
90 WASHINGTON ST, SUITE 213, EAST ORANGE, NJ 07017-1050
(973) 674-5726
(973) 674-5920

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA03376500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3139506
NJ
Enumeration date
09/03/2006
Last updated
07/08/2007
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