Individual
PHYLLIS DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APN C AOCN
Contact information
Practice address
2 COOPER PLZ, 400 HADDON AVE, CAMDEN, NJ 08103-1461
(855) 632-2667
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00008200
NJ
363LA2200X
Adult Health Nurse Practitioner
NJ000082
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500028955
RAILROAD MEDICARE
—
05
—
8829802
—
NJ
Enumeration date
07/12/2006
Last updated
10/29/2020
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