Individual
DR. TODD JONATHAN RUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PAOLI MEMORIAL MEDICAL BLDG #2, 255 W LANCASTER AVE SUITE 328, PAOLI, PA 19301
(610) 647-2400
(610) 647-3902
Mailing address
207 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1500
(267) 479-4165
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD421975
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD421975
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101979357
—
PA
01
—
P01078707
RR MEDICARE
PA
Enumeration date
03/23/2007
Last updated
01/14/2013
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