| Bruce J Rudin, MD | |
|
4102 Ogletown Stanton Rd Ste B, Newark, DE 19713-4183 | |
| (302) 894-1900 | |
| (302) 894-0264 |
| Full Name | Bruce J Rudin |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 4102 Ogletown Stanton Rd Ste B, Newark, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871564856 | NPI | - | NPPES |
| 0000465401 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | C10003953 (Delaware) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | CI0003953 (Delaware) | Primary |
| Entity Name | First State Orthopaedics Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346220266 PECOS PAC ID: 6103800057 Enrollment ID: O20040617000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce J Rudin, MD 211 Executive Dr Ste 11, Newark, DE 19702-3358 Ph: (302) 731-2888 | Bruce J Rudin, MD 4102 Ogletown Stanton Rd Ste B, Newark, DE 19713-4183 Ph: (302) 894-1900 |
Jeremie Michael Axe, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713 Phone: 302-731-2888 Fax: 302-731-7049 | |
Alex B Bodenstab, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713 Phone: 302-731-2888 Fax: 302-731-7049 | |
Eric T Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713 Phone: 302-731-2888 Fax: 302-731-7049 | |
Kalin Fisher, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Executive Dr Ste 11, Newark, DE 19702 Phone: 302-731-2888 | |
Mahaveer P Prabhakar, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Christiana Medical Ctr, Newark, DE 19702 Phone: 302-368-8700 | |
Matthew A Handling, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713 Phone: 302-731-2888 Fax: 302-731-7049 | |
Adam Jude Santoro, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd Ste 238, Newark, DE 19713 Phone: 302-731-2888 Fax: 302-731-7049 |