Individual
DR. ROBERT JOSEPH RUDEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5429 BROADWAY, LANCASTER, NY 14086-2123
(716) 684-1010
(716) 684-1011
Mailing address
5429 BROADWAY ST, LANCASTER, NY 14086-2123
(716) 684-1010
(716) 836-2995
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010254201
UNIVERA-BUFFALO
NY
01
—
00010254202
UNIVERA-LANCASTER
NY
01
—
000507615001
BLUE CROSS-BUFFALO
NY
01
—
005076153
BLUE CROSS-LANCASTER
NY
01
—
16-1100783
TAX ID-LANCASTER
NY
01
—
16-1140534
TAX ID-BUFFALO
NY
01
—
CF7099
RAILRAD MEDICAR-LANCASTER
NY
01
—
CF7829
RAILROAD MEDICARE-BUFFALO
NY
Enumeration date
01/13/2007
Last updated
02/05/2008
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