Individual
DR. ROBERT HARRY HUDDLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MADISON AVE, SUITE 2C, ELMIRA, NY 14901-3218
(607) 737-6869
(607) 737-8054
Mailing address
750 W CLINTON ST, ELMIRA, NY 14905-2228
(607) 734-3015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
120546-7
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00372358
—
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
P00393472
RR MEDICARE PIN
NY
Enumeration date
07/19/2006
Last updated
10/24/2007
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