Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101262534 | VA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD045467 | DC |
NPI | 1073812442 |
---|---|
Provider Name | Meryl Rutkowski Ludwig |
First Address | Fairfax, VA 22031-2241 |
Second Address | Fairfax, VA 22031-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 11/10/2018 |