Sudol, Robert Russell
Sudol, Robert Russell is an individual health care provider with primary practice located at 408 E Jimmie Leeds Rd , Galloway NJ 08205-9706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sudol, Robert Russell can be contacted via phone (609) 652-6947.Contact Information
Primary practice address
408 E Jimmie Leeds Rd
Galloway NJ 08205-9706
Phone: (609) 652-6947
Fax: (609) 748-9075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48441 | New Jersey |
Profile Details
| NPI number | 1154424182 |
|---|---|
| LBN Legal business name | Sudol, Robert Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154424182 | NPPES |
| New Jersey | MEDICAID | 1336309 |
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