Individual
ISAAC J RUDLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 BUCKSPORT RD, ELLSWORTH, ME 04605-2239
(207) 667-6300
Mailing address
128 BUCKSPORT RD, ELLSWORTH, ME 04605-2239
(207) 667-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
231253
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000220503
MEDICARE PTAN
ME
Enumeration date
04/25/2007
Last updated
01/09/2014
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