Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD32880 | DC |
NPI | 1730226267 |
---|---|
Provider Name | Cynthia C Cudjoe |
First Address | Gaithersburg, MD 20879-1659 |
Second Address | Washington, DC 20002-7583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |