Individual
DR. RUDY A. CARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7333
(570) 808-7325
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD424521
PA
208M00000X
Hospitalist Physician
MD424521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010097470001
—
PA
Enumeration date
02/22/2006
Last updated
07/16/2020
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