Individual
AUDREY ALICIA GORDEUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837
Mailing address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025140
NY
363A00000X
Physician Assistant
Primary
25MP00572700
NJ
Other
Enumeration date
07/23/2020
Last updated
04/30/2026
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