Provider Demographics
NPI:1386629277
Name:GURDIAN, JUDITH ANNE (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANNE
Last Name:GURDIAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:9711 MEDICAL CENTER DR
Practice Address - Street 2:STE 109
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3323
Practice Address - Country:US
Practice Address - Phone:301-762-5501
Practice Address - Fax:301-309-8727
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2023-10-17
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Provider Licenses
StateLicense IDTaxonomies
MDD0035004207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD482151300Medicaid
MD482151300Medicaid
MD012225C21Medicare PIN