Individual
STANLEY DAVID HUDNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 CEDAR STREET, BML 116B, NEW HAVEN, CT 06520-8023
(203) 737-1221
(203) 785-3583
Mailing address
310 CEDAR STREET, BML 116B, NEW HAVEN, CT 06520-8023
(203) 737-1221
(203) 785-3583
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
J2611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134518302
—
TX
Enumeration date
11/10/2006
Last updated
10/29/2009
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