Individual provider · Type 1 NPI

Rudolph Willis, MD

Family Medicine Physician · Irvington, NJ

NPI number 1104887819 Active

Practice location

12 Krotik Pl, Irvington Emergent Care And Rehabilitation Center Inc.
Irvington, NJ 07111-1708

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XMA42750 (NJ)
Family Medicine Physician Primary 207Q00000X25MA04275000 (NJ)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1104887819

Rudolph Willis, MD's National Provider Identifier is 1104887819, issued on Mar 31, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Irvington, NJ. The record was last updated on Mar 10, 2026.