Albert W. Hudson, MD
Dermatology, Dermatopathology in Rockford, IL. Individual provider (NPI-1).
NPI number1053391334
StatusActive
Last updated in NPPESJan 19, 2015
Details
- NPI
- 1053391334
- Entity type
- Individual (NPI-1)
- Name
- Albert W. Hudson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Jan 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | 036045616 | IL | Yes |
| 207N00000X | Dermatology | 55177 | WI |
Practice location
698 Featherstone RdRockford, IL 61107-6303
Phone 815-398-3277
Mailing address
698 Featherstone RdRockford, IL 61107-6303
Phone 815-398-3277
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