Individual
DR. JEREMY DAVID MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-0307
(212) 241-5656
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
332712
NY
Other
Enumeration date
04/12/2018
Last updated
05/01/2025
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