Rudolph, James L

Rudolph, James L is an individual health care provider with primary practice located at 1620 Tremont St Brigham And Womens Hospital Division Of Aging, Boston MA 02120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Rudolph, James L can be contacted via phone (617) 525-7631.

Contact Information

Primary practice address
1620 Tremont St Brigham And Womens Hospital Division Of Aging Boston MA 02120
Phone: (617) 525-7631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 210587 Massachusetts

Profile Details

NPI number 1568427417
LBN Legal business name Rudolph, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 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 1568427417 NPPES
Massachusetts MEDICAID A34613

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