Individual
CHARLES M RUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-4336
(646) 888-4676
Mailing address
633 3RD AVE, NEW YORK, NY 10017-6706
(646) 888-4336
(646) 888-4676
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D61040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403573900
—
MD
Enumeration date
07/06/2006
Last updated
04/07/2015
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