Individual
BRET J RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 MARKET ST FL4, CHOP DEPARTMENT OF ADOLESCENT MEDICINE, PHILADELPHIA, PA 19104
(215) 590-3537
(215) 561-0959
Mailing address
100 N 20TH ST, CHCA SUITE 301, PHILADELPHIA, PA 19103-1443
(215) 567-2422
(215) 561-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD039136E
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD039136E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2217201
—
NJ
Enumeration date
08/08/2006
Last updated
09/11/2025
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