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ERIC WYDRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1505 W. SHERMAN AVENUE, DEPT OF RADIOLOGY, VINELAND, NJ 08360-6912
(856) 641-7937
Mailing address
1505 W. SHERMAN AVENUE, DEPT OF RADIOLOGY, VINELAND, NJ 08360-6912
(732) 557-1781

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
21074
ND
2085R0202X
Diagnostic Radiology Physician
Primary
25MB09715500
NJ

Other

Enumeration date
05/18/2010
Last updated
05/28/2024
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