Individual
DR. JOSEPH JOHN RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
202 MEMORIAL DR, SUITE 3, EVERETT, PA 15537-7057
(814) 623-6191
(814) 623-5519
Mailing address
202 MEMORIAL DR, SUITE 3, EVERETT, PA 15537-7057
(814) 623-6191
(814) 623-5519
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001799L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005065850008
—
PA
Enumeration date
11/03/2005
Last updated
11/07/2007
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