Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0071894 | MD |
N | 111NI0900X | Internist | D0071894 | MD |
NPI | 1003067414 |
---|---|
Provider Name | Dr. Cornelia Diana Cudrici |
First Address | Rockville, MD 20852-5309 |
Second Address | Bethesda, MD 20892-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 20/07/2017 |