Provider Demographics
NPI:1386634798
Name:HUDSON, TANIA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:LYNN
Last Name:HUDSON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E CARROLL ST
Mailing Address - Street 2:PRMC STATION #379
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5422
Mailing Address - Country:US
Mailing Address - Phone:410-543-7722
Mailing Address - Fax:410-543-7725
Practice Address - Street 1:100 E CARROLL ST
Practice Address - Street 2:PRMC STATION #379 PENINSULA PULMONARY ASSOCIATES
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5422
Practice Address - Country:US
Practice Address - Phone:410-543-7722
Practice Address - Fax:410-543-7725
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2014-04-24
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Provider Licenses
StateLicense IDTaxonomies
MDD0061632207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
I06598Medicare UPIN