Jane Elizabeth Rudolph

MD | Pediatrics | Female

Jane Elizabeth Rudolph, MD is a Waterbury, Connecticut based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Jane Elizabeth Rudolph is 179 Roseland Ave, Waterbury, Connecticut - 06710. She can be contacted on phone at 203-574-4747 and fax number 203-574-2251. Jane Elizabeth Rudolph is a sole proprietor of her business.
NPI number (Unique professional ID) for Jane Elizabeth Rudolph is 1639189707 which was assigned by NPPES on 09 Aug, 2006 and it was last updated on 22 Jun, 2021. Jane Elizabeth Rudolph license number is 023752 for Pediatrics (208000000X) in Connecticut.
Jane Elizabeth Rudolph is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jane Elizabeth Rudolph basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Jane Elizabeth Rudolph
Credential :MD
Gender :Female
Business Address:
Jane Elizabeth 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 :179 Roseland Ave
Waterbury, CT, 06710
United States
Phone Number :203-574-4747
Fax Number :203-574-2251
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 : 1639189707
NPI Entity Type : Individual
First Enrolment Date : 09 Aug, 2006
Last Updated On : 22 Jun, 2021
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 Jane Elizabeth Rudolph are as mentioned. Primary taxonomy code for Jane Elizabeth Rudolph, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes023752CT
Legacy Identifiers:
Other legacy medical identifiers of Jane Elizabeth Rudolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
001237528MEDICAIDCT
0K0607OtherCTHN
00123752800OtherCTBCFP
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
jrudolph43114@direct.stfranciscare.org

Trinity Health of New England Direct address
No affiliationDIRECT
Direct
OTHER
Other
CCD
179 ROSELAND AVE,
WATERBURY, CT, 06710
United States
DIRECT
(Direct Messaging Address)
JaneRudolph@CAAHC-CT.direct.office.nextgen.com

Child & Adolescent Health Care Associates direct address
No affiliationDIRECT
Direct
OTHER
Other
CCD
179 ROSELAND AVE,
WATERBURY, CT, 06710
United States
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 :179 Roseland Ave
Waterbury, CT, 06710
United States
Phone Number :203-574-4747
Fax Number :203-574-2251
Business Location:
Patients can refer following map for directions to Jane Elizabeth 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.