Active NPIIndividual provider

Dr. Ronald C Fudge, PHD

Psychologist, Cognitive & Behavioral in East Orange, New Jersey

NPI Number1154335453
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
973-395-7016
Last updated
July 8, 2007

Ronald Curtis Fudge is a Psychologist, Cognitive & Behavioral based in East Orange, NJ. Ronald Curtis Fudge practices in East Orange, NJ and has the professional credentials of PHD. The NPI Number for Ronald Curtis Fudge is 1154335453 and holds a License No. 008567-1 (NY). The current practice location address for Ronald Curtis Fudge is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000 and via fax at 973-395-7016.

Provider Profile Details

NPI Number
1154335453
Provider Name
Ronald Curtis Fudge
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7016
Primary Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7016
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
22 Park Pl
Mount Vernon, NY 10552-2321
City
Mount Vernon
State
NY
Zip
10552-2321
Phone Number
914-668-6541
Fax Number
914-664-4624

License Information

License Number
008567-1
License State
NY
Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ronald C Fudge, PHD?

The NPI number of Dr. Ronald C Fudge, PHD is 1154335453. It was assigned on July 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ronald C Fudge, PHD?

Dr. Ronald C Fudge, PHD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in NY under license number 008567-1.

Where does Dr. Ronald C Fudge, PHD practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone) or 973-395-7016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154335453 directly on the NPPES registry website.

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