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Individual

DR. NICOLE ALEXANDRIA PUGH-MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
653 W EDGAR RD, LINDEN, NJ 07036-6574
(610) 905-3752
Mailing address
653 W EDGAR RD # 1248, LINDEN, NJ 07036-6574
(610) 905-3752

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2020010822
PA
363LG0600X
Gerontology Nurse Practitioner
0024197902
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
2020010822
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ01402900
NJ
363LG0600X
Gerontology Nurse Practitioner
APRN11015509
FL
363LG0600X
Gerontology Nurse Practitioner
F312819-01
NY

Other

Enumeration date
02/19/2022
Last updated
07/18/2026
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