Individual
JAMES A. NUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 761-4201
Mailing address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 761-4201
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
K1887
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD00018498
WA
2085R0202X
Diagnostic Radiology Physician
MD29233
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052565-01
—
TX
05
—
2047560
—
WA
05
—
500694700
—
OR
Enumeration date
07/08/2005
Last updated
02/01/2016
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