Individual
JOANNE KATHERINE LUNDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2900
(908) 203-5964
Mailing address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2900
(908) 203-5964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08059200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185644
—
NJ
Enumeration date
11/20/2006
Last updated
04/07/2021
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