Individual
SYLVIE C RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420008053
VT
207Q00000X
Family Medicine Physician
Primary
7554
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2226
—
VT
Enumeration date
02/06/2006
Last updated
04/08/2013
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