Ruderman, Marvin Ira

Ruderman, Marvin Ira is an sole proprietor health care provider with primary practice located at 1099 Bloomfield Ave , West Caldwell NJ 07006-7129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ruderman, Marvin Ira can be contacted via phone (973) 439-7000.

Contact Information

Primary practice address
1099 Bloomfield Ave West Caldwell NJ 07006-7129
Phone: (973) 439-7000
Fax: (973) 439-7020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA038683 New Jersey

Profile Details

NPI number 1427129006
LBN Legal business name Ruderman, Marvin Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jun 25th, 2013 - about 11 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 1427129006 NPPES
Other 1K5674 HEALTHNET PROVIDER ID

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