Udoff, Laurence C

Udoff, Laurence C is an individual health care provider with primary practice located at 3015 Williams Dr #202, Fairfax VA 22031-4623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Udoff, Laurence C can be contacted via phone (703) 289-1963.

Contact Information

Primary practice address
3015 Williams Dr #202 Fairfax VA 22031-4623
Phone: (703) 289-1963
Fax: (703) 698-3977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X D46191 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D46191 Maryland

Profile Details

NPI number 1497789853
LBN Legal business name Udoff, Laurence C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497789853 NPPES
Maryland MEDICAID 150951900

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