Individual
DR. STEVEN MARK GUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(973) 361-3737
(973) 361-9884
Mailing address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(973) 361-3737
(973) 361-9884
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
40534
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085420401
—
NJ
01
—
110140753
PALMETTO GBA RAILROAD ME
—
01
—
222306589003
QUALCARE
—
01
—
27083
AETNA
—
01
—
5711248
MULTIPLAN
—
01
—
IP005
OXFORD
—
01
—
NJ3656
HEALTHNET
—
Enumeration date
02/13/2006
Last updated
03/06/2014
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