Rudy, Bret J

Rudy, Bret J is an individual health care provider with primary practice located at 3550 Market St Fl4 Chop Department Of Adolescent Medicine, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Rudy, Bret J can be contacted via phone (215) 590-3537.

Contact Information

Primary practice address
3550 Market St Fl4 Chop Department Of Adolescent Medicine Philadelphia PA 19104
Phone: (215) 590-3537
Fax: (215) 561-0959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD039136E Pennsylvania
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD039136E Pennsylvania

Profile Details

NPI number 1326058900
LBN Legal business name Rudy, Bret J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1326058900 NPPES
New Jersey MEDICAID 2217201

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