Individual
HOLLIE C. RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4701 OGLETOWN STANTON ROAD, SUITE 2100, NEWARK, DE 19713-7000
(302) 623-4530
(302) 623-4578
Mailing address
200 HYGEIA DR STE 2300, CCHS PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001093
DE
363A00000X
Physician Assistant
—
DE
Other
Enumeration date
10/04/2016
Last updated
12/21/2016
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