Individual
JOSEPH RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGPCNP-BC
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3250
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00847400
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00847400
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00847400
NJ
Other
Enumeration date
08/27/2018
Last updated
12/09/2019
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