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Individual
ANTHONY CHRISTIAN IUDICA
Active
Individual
ANTHONY CHRISTIAN IUDICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101223186
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005619858
VA PREMIER ID
VA
05
—
005619858
—
VA
01
—
113977
OPTIMA
VA
01
—
145606
SOUTHERN HEALTH ID
VA
01
—
453282
ANTHEM ID
VA
Enumeration date
08/03/2005
Last updated
01/16/2013
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