Individual
DR. THOMAS H DUDLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MARTHA JEFFERSON DR., CHARLOTTESVILLE, VA 22911
(434) 654-7191
(434) 654-7944
Mailing address
459 LOCUST AVE, CHARLOTTESVILLE, VA 22902-4808
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101046608
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006600247
—
VA
Enumeration date
09/02/2005
Last updated
07/01/2014
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