Individual
DR. ROBERT I RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1134 PENN AVE, WYOMISSING, PA 19610-2034
(610) 374-4463
Mailing address
1134 PENN AVE, WYOMISSING, PA 19610-2034
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-013472E
PA
Other
Enumeration date
03/07/2007
Last updated
03/20/2008
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