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Individual

MR. JOEY A RUDD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(717) 531-8521
(717) 531-5068
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059293
PA
363A00000X
Physician Assistant
OA004257
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103362131
PA
Enumeration date
07/04/2016
Last updated
12/18/2025
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