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Dr. Rudolph Willis, MD
Specialist in Irvington, New Jersey
NPI 1104887819

Rudolph Willis is a Specialist based in Irvington, NJ. Rudolph Willis practices in Irvington, NJ and has the professional credentials of MD. The NPI Number for Rudolph Willis is 1104887819 and holds a License No. MA42750 (New Jersey).

The current practice location address for Rudolph Willis is 12 Krotik Pl, Irvington, NJ and can be reached out via phone at 973-373-3000.

Location: 12 Krotik Pl, Irvington, NJ, 07111-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104887819
Provider Name
Rudolph Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Krotik Pl, Irvington, NJ, 07111-1708
Phone Number
973-373-3000
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0887307 05 NJ
institution
Provider Business Practice Location Address Details
Address
12 Krotik Pl
City
Irvington
State
New Jersey
Zip
07111-1708
Phone Number
973-373-3000
Fax Number
person
Provider Business Mailing Address Details
Address
12 Krotik Pl
City
Irvington
State
New Jersey
Zip
07111-1708
Phone Number
973-373-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA42750 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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