Rudelli, Raul D

Rudelli, Raul D is an individual health care provider with primary practice located at 230 60Th St , West New York NJ 07093-2824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Rudelli, Raul D can be contacted via phone (347) 996-9422.

Contact Information

Primary practice address
230 60Th St West New York NJ 07093-2824
Phone: (347) 996-9422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MA39697 New Jersey
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 143179 New York

Profile Details

NPI number 1124049671
LBN Legal business name Rudelli, Raul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 9th, 2011 - about 13 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 1124049671 NPPES
New Jersey MEDICAID 6404405

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