Individual
SARA ELIZABETH RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE DEPT MC21-69, DANVILLE, PA 17822-0001
(570) 271-5900
Mailing address
100 N ACADEMY AVE DEPT MC21-69, DANVILLE, PA 17822-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT228028
PA
Other
Enumeration date
03/22/2023
Last updated
06/30/2023
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