Robert Russell Sudol MD

NPI 1154424182 - Internal Medicine - 207R00000X

NPI Details
NPI 1154424182
Gender Male
Enumeration Date 09/06/2006
Last Updated 10/27/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
408 E JIMMIE LEEDS RD
GALLOWAY NJ, 08205-9706, US
Phone (609) 652-6947
Fax (609) 748-9075
Business Location
408 E JIMMIE LEEDS RD
GALLOWAY NJ, 08205-9706, US
Phone (609) 652-6956
Fax (609) 748-9075
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 48441
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According to our database, Robert Russell Sudol MD NPI is 1154424182, taxonomy code is 207R00000X and license number is 48441, license state is located at New Jersey. Robert Russell Sudol MD physically located at 408 E Jimmie Leeds Rd, Galloway NJ, 08205-9706. NPI Number Robert Russell Sudol MD has the Individual type.

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1154424182 NPI number is provided on an as is basis without warranty of any kind. 1154424182 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Russell Sudol MD are for informational purposes only.