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Search › New Jersey › 207Q00000X

Rudolph Willis, MD

NPI 1104887819 · on the registry since 2006

Practice

Address
12 Krotik Pl
Irvington Emergent Care And Rehabilitation Center Inc.
Irvington, NJ 07111
Phone
(973) 373-3000
Organisation at this address
Danexa Llc
Irvington Emergent Care
Health Tech Diagnostic,Llc
Irvington Emergent Care And Rehabilitation Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
174400000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey