| Doctor Name: | MR. RONALD R FUDALA |
| NPI Number: | 1730262833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., D.P.T |
| License Number: | 40QA01142700 |
| Business Practice Address: | 1418 New Rd Northfield, NJ - 082251179 |
| Business Phone Number: | 6096458282 |
| Business Fax Number: | 6096458182 |
| Mailing Address: | 379 Sapling Way, ATCO |
| State: | NJ |
| Postal Code: | 080041955 |
| Phone Number: | 8567535084 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 02/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01142700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |