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Mallory Rose Kelley Rutledge, DO
Student in an Organized Health Care Education/Training Program in New Brunswick, New Jersey
NPI 1265175178

Mallory Rose Kelley Rutledge is a Student in an Organized Health Care Education/Training Program based in Red Lodge, NJ. Mallory Rose Kelley Rutledge practices in New Brunswick, NJ and has the professional credentials of DO. The NPI Number for Mallory Rose Kelley Rutledge is 1265175178 and holds a License No. (New Jersey).

The current practice location address for Mallory Rose Kelley Rutledge is 240 Easton Ave, New Brunswick, NJ and can be reached out via phone at 732-745-8564.

Location: 240 Easton Ave, New Brunswick, NJ, 59068-0488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265175178
Provider Name
Mallory Rose Kelley Rutledge
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
240 Easton Ave, New Brunswick, NJ, 59068-0488
Phone Number
732-745-8564
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Easton Ave
City
New Brunswick
State
New Jersey
Zip
08901-1723
Phone Number
732-745-8564
Fax Number
person
Provider Business Mailing Address Details
Address
240 Easton Ave
City
New Brunswick
State
New Jersey
Zip
08901-1723
Phone Number
732-745-8564
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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