Individual
GLENN MICHAEL LUDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
38 NORTHRIDGE DR, MAYS LANDING, NJ 08330-4920
(973) 699-8111
Mailing address
38 NORTHRIDGE DR, MAYS LANDING, NJ 08330-4920
(973) 699-8111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14928300
NJ
Other
Enumeration date
09/27/2023
Last updated
10/07/2023
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