Individual
DR. EZRA BEN RUDINOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-3222
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-3222
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LL92530
SC
2084P0800X
Psychiatry Physician
LL92530
SC
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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