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Individual

KERRY STROUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 431-2000
Mailing address
696 HARMONY RD, JACKSON, NJ 08527-4343
(917) 673-8184

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00860400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26NJ00860400
NJ
Enumeration date
11/15/2018
Last updated
11/15/2018
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