Mary Rudloff is a Physician Assistant in Fredonia, New York. Mary Rudloff practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Rudloff is 1407841356. The last update date is 2023-06-14.
Mary Rudloff's current location address is 12 Center St, Fredonia, New York. You can contact this provider via phone number 7166792233 and fax number 7166799698. The mailing address for Mary Rudloff is 12 Center St, Fredonia, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Rudloff |
|---|---|
| Address | 12 Center St, Fredonia, New York |
| Phone Number | 7166792233 |
| Fax Number | 7166799698 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1407841356 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2023-06-14 |
Provider Mailing Address Detail
| Address | 12 Center St |
|---|---|
| City | Fredonia |
| State | New York (NY) |
| Post Code | 140631769 |
| Phone Number | 7166792233 |
| Fax Number | 7166799698 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5154 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Mary Rudloff by the Centers for Medicare & Medicaid Services?
The Mary Rudloff has been assigned the NPI (National Provider Identifier) 1407841356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mary Rudloff's facilities are situated?
The facilities of Mary Rudloff are physically located at the following address: 12 Center St, Fredonia, NY, 140631769.
What is the Mary Rudloff's specialty and taxonomy code?
The Mary Rudloff's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Mary Rudloff receive the assignment of its 1407841356 from the Centers for Medicare & Medicaid Services?
The Mary Rudloff was issued its 1407841356 by the Centers for Medicare & Medicaid Services on 2005-09-16.
As of what date were the Mary Rudloff's details last updated?
The information pertaining to the Mary Rudloff, including its address, specialty, and other details, was most recently updated on 2023-06-14.