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
Phone: (973) 674-5726
Fax: (973) 674-5920
Website:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144322611 | NPPES |
New Jersey | MEDICAID | 3139506 |
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