Individual
DR. JEAN MARY HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
124 MAIN ST, GOSHEN, NY 10924-2124
(845) 291-2332
Mailing address
15 SANOK DR, CAMPBELL HALL, NY 10916-2431
(845) 496-2104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
154844
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473074
—
NY
Enumeration date
08/01/2012
Last updated
08/01/2012
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