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MILLARD ARTHUR RUDDELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-4355
Mailing address
2408 JERICHO DR, JAMISON, PA 18929-1507
(215) 491-4263

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD 015857 E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0994169
PA
Enumeration date
07/13/2005
Last updated
07/08/2007
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