Individual
DR. NORMAN ERIC RUDOLPH
Active
Individual
DR. NORMAN ERIC RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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