Albert H Dudley III MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0022935 Issued in MD

Legal business name

ALBERT H DUDLEY III MD LLC

Practice address

1 Texas Station CT
Ste 300
Timonium, MD 21093-8286

Phone

(410) 683-2124

Fax

(410) 683-3492

NPI assigned

Dec 19, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Albert Henry Dudley III, MD

Title

Doctor

Phone

(410) 683-2124

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1790848760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT",
            "address_2": "STE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938286",
            "telephone_number": "410-683-2124",
            "fax_number": "410-683-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT",
            "address_2": "STE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938286",
            "telephone_number": "410-683-2124",
            "fax_number": "410-683-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT H DUDLEY III MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-683-2124",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0022935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Timonium, MD
• Providers in Timonium, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.