Rudolph C Willis (NPI# 1104887819, PAC ID# 0648371039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1104887819 |
PAC ID by PECOS | 0648371039 |
Professional Enrollment ID | I20070730000535 |
Full Name | Rudolph C Willis |
Address |
12 Krotik Pl Irvington NJ 07111-1708 |
Gender | M |
Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
Graduation Year | 1982 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12 Krotik Pl, Irvington, NJ 07111-1708 |
Street Address |
12 KROTIK PL |
City | IRVINGTON |
State | NJ |
Zip | 07111-1708 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chidi I Anukwuem | Internal Medicine | 1182 Stuyvesant Ave, Irvington, NJ 07111-1057 | |
Sonya L Goodrich | Nurse Practitioner | 1387 Clinton Ave, Irvington, NJ 07111-1442 | |
Adeniyi O Aina | Physical Therapy | 964 Sanford Ave, Irvington, NJ 07111-1474 | |
Raj H Patel | Infectious Disease | Hemant G Patel Md Pa | 701 Stuyvesant Ave, Irvington, NJ 07111-1823 |
Danielle K Washington | Clinical Social Worker | Irvington Counseling Center, Inc. | 21 -29 Wagner Place, Irvington, NJ 07111-1861 |
Laura L Richardson | Clinical Social Worker | Irvington Counseling Center, Inc. | 21 -29 Wagner Place, Irvington, NJ 07111-1861 |
Monica A Brady | Clinical Social Worker | Irvington Counseling Center, Inc. | 21 -29 Wagner Place, Irvington, NJ 07111-1861 |
Adrien L Coblentz | Psychiatry | Irvington Counseling Center, Inc. | 21 -29 Wagner Place, Irvington, NJ 07111-1861 |
Joseph V Campbell | Cardiovascular Disease (cardiology) | 1057 Sanford Ave, Irvington, NJ 07111-1946 | |
Nicholas A Rizzitello Jr. | Chiropractic | 1224 Clinton Ave, Irvington, NJ 07111-2020 | |
Find all physicians in zip 07111 |
City | IRVINGTON |
Zip Code | 07111 |
Specialty | FAMILY MEDICINE |
City + Specialty | IRVINGTON + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.