Dr. Bryan Rudolph
MD, MPH | Pediatric Gastroenterology | Male
Dr. Bryan Rudolph, MD, MPH is a Bronx, New York based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Bryan Rudolph is
3411 Wayne Ave, 7th Floor, Bronx, New York - 10467-2403. He can be contacted on phone at
718-741-2332.
Dr. Bryan Rudolph is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bryan Rudolph is
1811216948 which was assigned by NPPES on 28 May, 2010 and it was last updated on 11 May, 2017.
Dr. Bryan Rudolph license number is
257025 for Pediatrics Pediatric Gastroenterology (2080P0206X) in New York.
Dr. Bryan Rudolph specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Bryan Rudolph basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Bryan Rudolph |
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| Credential : | MD, MPH |
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| Gender : | Male |
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Business Address:
Dr. Bryan Rudolph address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3411 Wayne Ave, 7th Floor
Bronx, NY, 10467-2403
United States |
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| Phone Number : | 718-741-2332 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811216948 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 May, 2010 |
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| Last Updated On : | 11 May, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bryan Rudolph are as mentioned. Primary taxonomy code for Dr. Bryan Rudolph, MD, MPH is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 257025-1 | NY |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 257025 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bryan Rudolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03363848 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 80 Homestead Rd
Tenafly, NJ, 07670-1109
United States |
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| Phone Number : | 202-465-5307 |
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Business Location:
Patients can refer following map for directions to
Dr. Bryan Rudolph practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.