Organization
LANCASTER DEPEW PODIATRY GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH RUDEWICZ D.P.M. (OWNER)
(716) 684-1010
Entity
Organization
Contact information
Practice address
5429 BROADWAY ST, LANCASTER, NY 14086-2123
(716) 684-1010
(716) 684-1011
Mailing address
5429 BROADWAY ST, LANCASTER, NY 14086-2123
(716) 684-1010
(716) 684-1011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2795
NY
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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