Individual
DR. JEFFREY P RUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1792 TRIBUTE RD, SUITE 200, SACRAMENTO, CA 95815-4305
(916) 678-5400
(916) 678-7663
Mailing address
1792 TRIBUTE RD, SUITE 200, SACRAMENTO, CA 95815-4305
(916) 678-5400
(916) 678-7663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G67920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G679200
—
CA
Enumeration date
06/01/2005
Last updated
05/06/2013
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