Individual
CARLA ALICIA RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1202 S CEDAR CREST BLVD, SUITE 500, ALLENTOWN, PA 18103-6202
(610) 770-2200
(610) 433-7622
Mailing address
1202 S CEDAR CREST BLVD, SUITE 500, ALLENTOWN, PA 18103-6202
(610) 770-2200
(610) 433-7622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056444
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA056444
STATE LICENSE NUMBER
PA
Enumeration date
10/23/2013
Last updated
01/15/2014
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