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Contact Information

JONAH E RUDDY, DO
455 TOLL GATE RD
WARWICK, RI02886-2770
 Phone: 401-737-7010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JONAH E RUDDY · (Male)

NPI Number 1962964544
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/03/2019
Last updated 07/21/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • RI License # DO01489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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