Dudley, Thomas H

Dudley, Thomas H is an individual health care provider with primary practice located at 500 Martha Jefferson Dr. , Charlottesville VA 22911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dudley, Thomas H can be contacted via phone (434) 654-7191.

Contact Information

Primary practice address
500 Martha Jefferson Dr. Charlottesville VA 22911
Phone: (434) 654-7191
Fax: (434) 654-7944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101046608 Virginia

Profile Details

NPI number 1518951771
LBN Legal business name Dudley, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518951771 NPPES
Virginia MEDICAID 006600247

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