Individual
DOUGLAS RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
5 ROUTE 45, SALEM, NJ 08079-2000
(856) 887-3005
(856) 759-4035
Mailing address
19 KAYLAS WAY, MULLICA HILL, NJ 08062-2101
(856) 340-5766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00716600
NJ
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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