Organization
LUTHERAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS J RUDITSER M.D. (RESIDENT PHYSICIAN)
(516) 710-3511
Entity
Organization
Contact information
Practice address
2011 KENNETH RD, MERRICK, NY 11566-5508
(516) 710-3511
Mailing address
2011 KENNETH RD, MERRICK, NY 11566-5508
(516) 710-3511
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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