Ruderman, Jeffrey P

Ruderman, Jeffrey P is an individual health care provider with primary practice located at 1792 Tribute Rd Suite 200, Sacramento CA 95815-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ruderman, Jeffrey P can be contacted via phone (916) 678-5400.

Contact Information

Primary practice address
1792 Tribute Rd Suite 200 Sacramento CA 95815-4305
Phone: (916) 678-5400
Fax: (916) 678-7663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G67920 California

Profile Details

NPI number 1497757686
LBN Legal business name Ruderman, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497757686 NPPES
California MEDICAID 00G679200

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