Provider Demographics
NPI:1093962581
Name:RUDLOFF, UDO (MD)
Entity Type:Individual
Prefix:
First Name:UDO
Middle Name:
Last Name:RUDLOFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4805 BROAD BROOK DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3905
Mailing Address - Country:US
Mailing Address - Phone:301-547-9226
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR CANCER RESEARCH CCR NCI NIH
Practice Address - Street 2:HATFIELD CENTER, ROOM 4-5940, 10 CENTER DRIVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-3098
Practice Address - Fax:301-402-1788
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2013-12-30
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Provider Licenses
StateLicense IDTaxonomies
NMMD2007-06332086X0206X
VA01012552262086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology