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Individual

GREGORY S. PUDHORODSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
650 PETER JEFFERSON PKWY, STE 190, CHARLOTTESVILLE, VA 22911-8844
(434) 296-6161
(434) 296-6538
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101040630
VA
207RR0500X
Rheumatology Physician
Primary
0101040630
VA

Other

Enumeration date
03/09/2006
Last updated
06/05/2013
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