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Individual

DR. GENE GUY TUDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 HOSPITAL RD, SUITE 204, PRINCE FREDERICK, MD 20678-4019
(410) 414-7288
(410) 414-7102
Mailing address
110 HOSPITAL ROAD, SUITE 204, CALVERT OTOLARYNGOLOGY, PRINCE FREDERICK, MD 20678
(410) 414-7288
(410) 414-7102

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
9501133
NC
207Y00000X
Otolaryngology Physician
Primary
D0066926
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83936
BCBS
NC
05
8983936
NC
01
9501133
STATE LICENSE
NC
01
D0066926
MD STATE LICENSE
MD
Enumeration date
03/22/2006
Last updated
03/07/2023
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