Individual
MICHAEL C RUDDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 PRINCETON HIGHTSTOWN RD, SUITE 203, PRINCETON JUNCTION, NJ 08550-1100
(609) 750-7330
(609) 750-7336
Mailing address
88 PRINCETON HIGHTSTOWN RD, SUITE 203, PRINCETON JUNCTION, NJ 08550-1100
(609) 750-7330
(609) 750-7336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA31313
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305250000
AMERIHEALTH
NJ
01
—
08515008
CIGNA
NJ
05
—
1214608
—
NJ
01
—
1K7020
HEALTH NET
NJ
01
—
3144306
AETNA
NJ
Enumeration date
06/05/2006
Last updated
07/08/2007
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