Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Max Tudela, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740939008

Max Tudela, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave Dept OF Medicine Villa Bldg 1ST Fl 1
Staten Island, NY 10310
Phone: (718) 818-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740939008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022

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