Basil Michael Rudusky MD

NPI 1013918713 - Internal Medicine - 207R00000X

NPI Details
NPI 1013918713
Gender Male
Enumeration Date 08/03/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
15 PUBLIC SQ
STE 208
WILKES BARRE PA, 18701-1702, US
Phone (570) 824-7115
Fax
Business Location
15 PUBLIC SQ
STE 208
WILKES BARRE PA, 18701-1702, US
Phone (570) 824-7115
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD27418L
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According to our database, Basil Michael Rudusky MD NPI is 1013918713, taxonomy code is 207R00000X and license number is MD27418L, license state is located at Pennsylvania. Basil Michael Rudusky MD physically located at 15 Public Sq, Wilkes Barre PA, 18701-1702. NPI Number Basil Michael Rudusky MD has the Individual type.

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1013918713 NPI number is provided on an as is basis without warranty of any kind. 1013918713 is maintained by the National Plan & Provider Enumeration System. The contents of Basil Michael Rudusky MD are for informational purposes only.