Individual
DR. ROSS ADAM UDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1632 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 295-3725
(704) 295-3737
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
390200000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19EUH
BCBSNC
NC
01
—
9995479
AETNA/COVENTRY
—
05
—
NC2366
—
SC
01
—
P01613575
MEDICARE RAILROAD
NC
Enumeration date
05/24/2010
Last updated
04/26/2021
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