Individual
JENNIFER ELLEN RUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2550 MOSSIDE BLVD, SUITE 500, MONROEVILLE, PA 15146-3540
(412) 856-0226
(412) 856-0224
Mailing address
4318 NORTHERN PIKE STE 101, MONROEVILLE, PA 15146-2823
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD024240E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000181239
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/06/2007
Last updated
09/20/2019
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