Individual
MR. LAURENCE C UDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 WILLIAMS DR, #202, FAIRFAX, VA 22031-4623
(703) 289-1963
(703) 698-3977
Mailing address
3015 WILLIAMS DR, #202, FAIRFAX, VA 22031-4623
(703) 289-1963
(703) 698-3977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D46191
MD
207VE0102X
Reproductive Endocrinology Physician
Primary
D46191
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150951900
—
MD
Enumeration date
07/10/2006
Last updated
07/30/2008
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