Ivan Rudolph M.D.

NPI 1053371930 - Internal Medicine - 207RG0100X

NPI Details
NPI 1053371930
Gender Male
Enumeration Date 03/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
132 S 10TH ST
480 MAIN BUILDING
PHILA PA, 19107-5244, US
Phone (215) 955-8900
Fax (215) 955-5245
Business Location
132 S 10TH ST
480 MAIN BUILDING
PHILA PA, 19107-5244, US
Phone (215) 955-8900
Fax (215) 955-5245
Toxanomy
Taxonomy Code 207RG0100X
License State Pennsylvania
License Number MD006250E
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According to our database, Ivan Rudolph M.D. NPI is 1053371930, taxonomy code is 207RG0100X and license number is MD006250E, license state is located at Pennsylvania. Ivan Rudolph M.D. physically located at 132 S 10th St, Phila PA, 19107-5244. NPI Number Ivan Rudolph M.D. has the Individual type.

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1053371930 NPI number is provided on an as is basis without warranty of any kind. 1053371930 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Rudolph M.D. are for informational purposes only.