Provider Demographics
NPI:1881379535
Name:RULNICK, DAVID I (PAC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:I
Last Name:RULNICK
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NJ SPINE AND ORTHOPEDIC
Mailing Address - Street 2:1200 US-22 #14
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807
Mailing Address - Country:US
Mailing Address - Phone:732-844-6230
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:1601 WALNUT ST STE 514
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2903
Practice Address - Country:US
Practice Address - Phone:866-553-0612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00785400363A00000X
PAMA064519363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant