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Individual

DR. STEPHEN GERALD RUDIN

Active
Find providers by NPI
Individual

DR. STEPHEN GERALD RUDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY-635-PR
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290594
MENTAL HEALTH NETWORK MHN
MA
01
42279
HARVARD PILGRIM HEALTH CA
MA
01
732869
TUFTS HEALTH PLANS
MA
01
W01468
BLUE SHIELD OF MASSACHUSE
MA
Enumeration date
10/05/2006
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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