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Contact Information

MARVIN I RUDERMAN, MD
1099 BLOOMFIELD AVE
WEST CALDWELL, NJ07006-7129
 Phone: 973-439-7000
 Fax: 973-439-7020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MARVIN I RUDERMAN · (Male)

NPI Number 1427129006
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 06/25/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA038683
  • Other 1K5674 HEALTHNET PROVIDER ID
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
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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