Jane E Rudolph, MD
Pediatrics in Waterbury, Connecticut
1639189707- Practice location
- 179 Roseland Ave, Waterbury, CT 06710
- Phone
- 203-574-4747
- Fax
- 203-574-2251
- Last updated
- June 22, 2021
Jane Elizabeth Rudolph is a Pediatrics based in Waterbury, CT. Jane Elizabeth Rudolph practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Jane Elizabeth Rudolph is 1639189707 and holds a License No. 023752 (CT). The current practice location address for Jane Elizabeth Rudolph is 179 Roseland Ave, Waterbury, CT 06710 and can be reached out via phone at 203-574-4747 and via fax at 203-574-2251.
Provider Profile Details
- NPI Number
- 1639189707
- Provider Name
- Jane Elizabeth Rudolph
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 179 Roseland Ave, Waterbury, CT 06710
- Phone Number
- 203-574-4747
- Fax Number
- 203-574-2251
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 9, 2006
- Last Update Date
- June 22, 2021
- Certification Date
- June 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 179 Roseland Ave
Waterbury, CT 06710 - City
- Waterbury
- State
- Connecticut
- Zip
- 06710
- Phone Number
- 203-574-4747
- Fax Number
- 203-574-2251
Provider Business Mailing Address Details
- Address
- 179 Roseland Ave
Waterbury, CT 06710 - City
- Waterbury
- State
- CT
- Zip
- 06710
- Phone Number
- 203-574-4747
- Fax Number
- 203-574-2251
License Information
- License Number
- 023752
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Waterbury, CT
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- Diane L. Fountas M.d.Pediatrics · NPI 1639378086
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Frequently Asked Questions
What is the NPI number of Jane E Rudolph, MD?
The NPI number of Jane E Rudolph, MD is 1639189707. It was assigned on August 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Jane E Rudolph, MD?
Jane E Rudolph, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 023752.
Where does Jane E Rudolph, MD practice?
The practice location is 179 Roseland Ave, Waterbury, CT 06710. The office can be reached at 203-574-4747 (phone) or 203-574-2251 (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 1639189707 directly on the NPPES registry website.