Individual
VYTAS RUDYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 475-4091
(201) 475-9473
Mailing address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 475-4091
(201) 475-9473
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
43ZA00625200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43ZA00625200
LICENSE
NJ
Enumeration date
03/22/2017
Last updated
03/22/2017
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