Individual
DR. REGAN CAUSEY TUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10804600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738077
—
NJ
Enumeration date
03/18/2017
Last updated
05/26/2023
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