Individual
ELIZABETH M CUDILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 VALLEY CHILDREN'S PLACE, MADERA, CA 93636-8761
(559) 353-3000
(212) 746-8563
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
115153
CA
207L00000X
Anesthesiology Physician
274345
NY
207L00000X
Anesthesiology Physician
Primary
A115153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115153
CALIFORNIA MEDICAL LICENSE
CA
01
—
274345
NEW YORK MEDICAL LICENSE
NY
Enumeration date
06/17/2009
Last updated
10/15/2015
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