Individual
DR. JEFFREY P RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, DEPARTMENT OF RADIOLOGY, CONCORD, MA 01742-4159
(978) 369-1400
Mailing address
30 BUCKMASTER DR., SUDBURY, MA 01776
(978) 443-5080
(978) 443-5469
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33401
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175617
—
MA
Enumeration date
06/30/2006
Last updated
10/23/2012
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