Rudnick, Melanie J

Rudnick, Melanie J is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rudnick, Melanie J can be contacted via phone (860) 837-5347.

Contact Information

Primary practice address
282 Washington St Hartford CT 06106
Fax: (860) 837-5540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A143307 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 61166 Connecticut

Profile Details

NPI number 1114260973
LBN Legal business name Rudnick, Melanie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2013
Last updated Apr 15th, 2022 - about 4 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 1114260973 NPPES
Connecticut MEDICAID 1114260973

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