Provider Demographics
NPI:1063455749
Name:BUDENZ, DONALD L (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:L
Last Name:BUDENZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5151 BIOINFORMATICS
Mailing Address - Street 2:CB 7040
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7040
Mailing Address - Country:US
Mailing Address - Phone:919-843-0297
Mailing Address - Fax:
Practice Address - Street 1:5151 BIOINFORMATICS
Practice Address - Street 2:CB 7040
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7040
Practice Address - Country:US
Practice Address - Phone:919-843-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2011-01358207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3770524-00Medicaid
FL3770524-00Medicaid
FL25751Medicare ID - Type Unspecified