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NPI Code Detail

MEDICARE: RUDA HELLER MASED

MEDICARE:   RUDA  HELLER  MASED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistNY

General Provider Information

NPI Number : 1639422025
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUDA HELLER MASED
Provider Business Mailing Address
First Line : 31 BALFOUR PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4508
Country : US
Telephone Number : 718-771-9314
Fax Number :
Provider Business Practice Location Address
First Line : 31 BALFOUR PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4508
Country : US
Telephone Number : 718-771-9314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2012
Last Update Date : 10/22/2012

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Directions to “ RUDA HELLER MASED” Practice Location

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