Dr. Gene Guy Tudor
Otolaryngologist (ENT Doctor)
110 Hospital Rd Suite 204
Prince Frederick
, Maryland 20678-4019
Dr. Gene Guy Tudor
Otolaryngologist (ENT Doctor)
110 Hospital Rd Suite 204
Prince Frederick
, Maryland 20678-4019
(410) 414-7102
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Gene Guy Tudor
- 110 Hospital Road, Suite 204 Calvert Otolaryngology
- Prince Frederick, MD
- Zip : 20678
- Fax : (410) 414-7102
- Phone : (410) 414-7288
Second Address
- Dr. Gene Guy Tudor
- 110 Hospital Rd Suite 204
- Prince Frederick, MD
- Zip : 20678-4019
- Fax : (410) 414-7102
- Phone : (410) 414-7288
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 9501133 | NC |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D0066926 | MD |
National Provider Identifier
| NPI | 1053370536 |
|---|---|
| Provider Name | Dr. Gene Guy Tudor |
| First Address | Prince Frederick, MD 20678 |
| Second Address | Prince Frederick, MD 20678-4019 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2006 |
| Last Update Date | 02/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 83936 | BCBS (01) | NC |
| 8983936 | (05) | NC |
| 9501133 | STATE LICENSE (01) | NC |
| BT1769794 | DEA (01) | NC |
| D0066926 | MD STATE LICENSE (01) | MD |
| E31316 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.