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Organization

EVOLUTION WOUND MANAGEMENT OF NJ PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA ALAN EMDUR DO (OWNER)
(720) 684-9159
Entity
Organization

Contact information

Practice address
410 MONMOUTH AVE APT 208, LAKEWOOD, NJ 08701-3747
(720) 684-9159
Mailing address
410 MONMOUTH AVE APT 208, LAKEWOOD, NJ 08701-3747

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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