Individual
MICHAEL BENNETT RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SEASIDE AVE, MILFORD, CT 06460-4603
(203) 876-4000
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-9638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035390
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001353903
—
CT
Enumeration date
08/17/2006
Last updated
06/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us