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Individual

DR. MARK IRA RUDERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
28 EAST PALISADE AVENUE, ENGLEWOOD EYE, ENGLEWOOD, NJ 07631
(201) 567-2020
Mailing address
28 EAST PALISADE AVENUE, ENGLEWOOD EYE, ENGLEWOOD, NJ 07631
(201) 567-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00409000
NJ

Other

Enumeration date
11/23/2007
Last updated
11/23/2007
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