Individual
DR. TOMASZ SEBASTIAN GREGORY FUDALEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1965 W 24TH ST STE A, YUMA, AZ 85364-6255
(928) 344-5774
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1908R76442
AZ
207Q00000X
Family Medicine Physician
Primary
59791
AZ
Other
Enumeration date
06/23/2017
Last updated
11/19/2024
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