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Individual

ERNEST RUDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
252697
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD.205341
LA
390200000X
Student in an Organized Health Care Education/Training Program
920744
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06624822
MS
05
2196731
LA
Enumeration date
09/25/2007
Last updated
12/12/2012
Update your record

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