Rudd, Jennifer Nell

Rudd, Jennifer Nell is an sole proprietor health care provider with primary practice located at 90 Washington St Suite 213, East Orange NJ 07017-1050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Rudd, Jennifer Nell can be contacted via phone (973) 674-5726.

Contact Information

Primary practice address
90 Washington St Suite 213 East Orange NJ 07017-1050
Fax: (973) 674-5920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA03376500 New Jersey

Profile Details

NPI number 1144322611
LBN Legal business name Rudd, Jennifer Nell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1144322611 NPPES
New Jersey MEDICAID 3139506

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