Individual
DR. ROBERT JOHN RUDOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-9200
Mailing address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-9200
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2017019125
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
D0101795
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200068807
—
MO
Enumeration date
06/29/2012
Last updated
03/12/2026
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