Individual provider · Type 1 NPI

James Rudolph, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1366293623 Active

Practice location

800 Spruce St
Philadelphia, PA 19107-6192

Call (800) 789-7366 Map

Mailing address

62 E Patricia Rd
Southampton, PA 18966-2120

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366293623

James Rudolph, DO's National Provider Identifier is 1366293623, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 27, 2024.