Individual
DR. BRYAN RUDOLPH
Active
Individual
DR. BRYAN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
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
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