Individual
DR. BRYAN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3411 WAYNE AVE, 7TH FLOOR, BRONX, NY 10467-2403
(718) 741-2332
Mailing address
80 HOMESTEAD RD, TENAFLY, NJ 07670-1109
(202) 465-5307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
257025-1
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
257025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03363848
—
NY
Enumeration date
05/28/2010
Last updated
05/11/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us