Individual
MICHAEL R RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, MOB SUITE 240, PHILADELPHIA, PA 19104-2640
(215) 662-8730
Mailing address
51 N 39TH ST, MOB SUITE 240, PHILADELPHIA, PA 19104-2640
(215) 662-8730
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD014337E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000675069
—
PA
Enumeration date
07/10/2006
Last updated
08/04/2015
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