Individual
DR. RICHARD RUDLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 FAIRVIEW DR, DANVILLE, PA 17821-8464
(570) 441-1064
Mailing address
5 FAIRVIEW DR, DANVILLE, PA 17821-8464
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS007921L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001295251
—
PA
Enumeration date
05/23/2006
Last updated
01/03/2014
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