DR. Rudolph Willis, MD

NPI #1104887819 in Irvington, New Jersey

Provider Information

NPI Number: 1104887819
Entity Type: Individual
Name: DR. Rudolph Willis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Mar 31, 2006
Last Updated: Feb 6, 2018

Practice Location

Address: 12 KROTIK PL
Address 2: IRVINGTON EMERGENT CARE AND REHABILITATION CENTER INC.
City: Irvington
State: New Jersey
ZIP Code: 07111-1708
Phone: (973) 373-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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