Individual
DR. MARIN C TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3833 WOODSIDE AVE, WOODSIDE, NY 11377-2448
(718) 639-3636
Mailing address
3833 WOODSIDE AVE, WOODSIDE, NY 11377-2448
(914) 337-2427
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
114828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00210435
—
NY
Enumeration date
04/19/2006
Last updated
12/05/2011
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