Individual
DR. NORMAN ERIC RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 VALLEY RD, MIDDLETOWN, RI 02842-7230
(401) 849-3925
(401) 849-3929
Mailing address
333 VALLEY RD, MIDDLETOWN, RI 02842-7230
(401) 849-3925
(401) 849-3929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD04177
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001953
BLUE CHIP
RI
01
—
0124162
SECURE HORIZONS
—
01
—
0400135
UNITED HEALTH
—
01
—
0555996
AETNA
—
01
—
23232
RIBC
RI
05
—
9002323
—
RI
Enumeration date
12/13/2006
Last updated
11/13/2007
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