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Organization

ROBERT I. RUDOLPH, M.D. LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT I. RUDOLPH M.D. (PRESIDENT)
(610) 374-4463
Entity
Organization

Contact information

Practice address
1134 PENN AVE, WYOMISSING, PA 19610-2034
(610) 374-4463
Mailing address
1134 PENN AVE, WYOMISSING, PA 19610-2034
(610) 374-4463

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-013472E
PA

Other

Enumeration date
06/16/2007
Last updated
03/14/2008
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