Individual
DR. DOUGLAS JAN PRAVDA
Active
Individual
DR. DOUGLAS JAN PRAVDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB03272500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10664103
UNIVERSAL CREDENTIALING
NJ
01
—
127381096
OTHER INSURANCE COMPANIES
NJ
01
—
US-292
OXFORD INSURANCE
NH
Enumeration date
02/02/2006
Last updated
05/09/2025
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