Individual
DR. MICHAEL STEPHEN RUDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S CHURCH ST, MIDDLETOWN, MD 21769-8043
(301) 371-9000
(301) 371-8905
Mailing address
PO BOX 20, MIDDLETOWN, MD 21769-0020
(301) 371-9000
(301) 371-8905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D17106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100076
UNITED HEALTHCARE #
MD
01
—
4141250
AETNA #
MD
01
—
42017501
BCBS MD #
MD
01
—
814436
MDIPA #
MD
01
—
H9310001
BCBS NCA #
MD
Enumeration date
06/16/2005
Last updated
07/09/2007
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