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NPI Code Detail

MEDICARE: REGINA MARIE HUDAK PA-C

MEDICARE: REGINA MARIE HUDAK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA051718PA
2363A00000XPhysician AssistantPA60778CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11346243185OTHERPANPI

General Provider Information

NPI Number : 1346243185
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA MARIE HUDAK PA-C
Provider Business Mailing Address
First Line : 132 DIANE DR
Second Line :
City : MONONGAHELA
State : PA
Zip : 15063-1150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 1ST ST STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94105-2661
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/20/2025

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Directions to “ REGINA MARIE HUDAK PA-C” Practice Location

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