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Individual
MR. MICHAEL JAMES MUDRY
Active
Individual
MR. MICHAEL JAMES MUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00139800
NJ
363A00000X
Physician Assistant
Primary
MA051522
PA
363AM0700X
Medical Physician Assistant
25MAP00139800
NJ
363AM0700X
Medical Physician Assistant
MA051522
PA
Other
Enumeration date
05/02/2006
Last updated
03/10/2023
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