Individual
DR. GLENN RUDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4500
Mailing address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
246708
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
07/21/2008
Last updated
07/21/2008
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