Tudor, Gene Guy
Tudor, Gene Guy is an individual health care provider with primary practice located at 110 Hospital Rd Suite 204, Prince Frederick MD 20678-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tudor, Gene Guy can be contacted via phone (410) 414-7288.Contact Information
Primary practice address
110 Hospital Rd Suite 204
Prince Frederick MD 20678-4019
Phone: (410) 414-7288
Fax: (410) 414-7102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 9501133 | North Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0066926 | Maryland |
Profile Details
| NPI number | 1053370536 |
|---|---|
| LBN Legal business name | Tudor, Gene Guy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053370536 | NPPES |
| North Carolina | Other | 83936 | BCBS |
| North Carolina | MEDICAID | 8983936 | BCBS |
| North Carolina | Other | 9501133 | BCBS |
| North Carolina | Other | D0066926 | BCBS |
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