MEDICARE: DR. ROBERT S RUDENSTEIN MD

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
1	207R00000X	Internal Medicine Physician	MD015858E	PA
2	207RR0500X	Rheumatology Physician	MD015858E	PA
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD015858E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558369686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT S RUDENSTEIN MD

Provider Business Mailing Address
First Line	:	800 WALNUT ST
Second Line	:	16TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5176
Country	:	US
Telephone Number	:	215-829-0101
Fax Number	:	215-829-4349

Provider Business Practice Location Address
First Line	:	800 WALNUT ST
Second Line	:	16TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5176
Country	:	US
Telephone Number	:	215-829-0101
Fax Number	:	215-829-4349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/02/2014

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