Individual
DR. MARVIN IRA RUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1099 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-7129
(973) 439-7000
(973) 439-7020
Mailing address
1099 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-7129
(973) 439-7000
(973) 439-7020
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA038683
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K5674
HEALTHNET PROVIDER ID
—
Enumeration date
11/13/2006
Last updated
06/25/2013
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