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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154424182 NPPES
New Jersey MEDICAID 1336309

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