Individual
EILEEN KODACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
125 PATERSON ST # 3100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6631
Mailing address
125 PATERSON ST # 3100, NEW BRUNSWICK, NJ 08901-1962
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB11443700
NJ
Other
Enumeration date
03/27/2018
Last updated
04/30/2024
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