Organization
DR. LEON M. RUDOLPH ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUDOLPH O.D. (PRESIDENT)
(215) 945-0558
Entity
Organization
Contact information
Practice address
206 WILLOW DR, LEVITTOWN, PA 19054-3121
(215) 945-0558
(215) 945-4162
Mailing address
206 WILLOW DR, LEVITTOWN, PA 19054-3121
(215) 945-0558
(215) 945-4162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001136
PA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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