Mark N Rudolph, MD | |
23 Isaac St, Middleboro, MA 02346-2080 | |
(774) 419-1022 | |
(774) 419-1034 |
Full Name | Mark N Rudolph |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 23 Isaac St, Middleboro, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366490534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 210226 (Massachusetts) | Primary |
Entity Name | The Mclean Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228 |
Entity Name | Vinfen Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225168271 PECOS PAC ID: 8729336870 Enrollment ID: O20200916002885 |
Mailing Address | Practice Location Address |
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Mark N Rudolph, MD 23 Isaac St, Middleboro, MA 02346-2080 Ph: (774) 419-1022 | Mark N Rudolph, MD 23 Isaac St, Middleboro, MA 02346-2080 Ph: (774) 419-1022 |
Joan P Gerring, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 23 Isaac St, Middleboro, MA 02346 Phone: 774-419-1039 | |
Dr. Efrat Shavit, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 23 Isaac St, Middleboro, MA 02346 Phone: 774-419-1069 | |
Sajel Shah, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 52 Oak St, Middleboro, MA 02346 Phone: 508-923-5405 | |
Dr. Dani Ray, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 52 Oak St, Middleboro, MA 02346 Phone: 774-213-9088 | |
William Knott Dilauro, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 52 Oak St, Middleboro, MA 02346 Phone: 774-213-8400 Fax: 508-946-6185 | |
Dr. Edgardo C Angeles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 511 W Grove St, Middleboro, MA 02346 Phone: 508-923-3427 Fax: 508-923-3428 |