Individual
DR. JAMIE ERICA RUDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 DAVIS AVE, HOPE TOWER 5TH FLOOR, NEPTUNE, NJ 07753
(732) 935-0407
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55664
AZ
2080P0214X
Pediatric Pulmonology Physician
Primary
25MA12377100
NJ
2080P0214X
Pediatric Pulmonology Physician
55664
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386304
—
AZ
Enumeration date
05/07/2010
Last updated
10/24/2024
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