Individual
DR. DOUGLAS JAN PRAVDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9003 SE HAWKS NEST CT, HOBE SOUND, FL 33455-8927
(908) 241-3181
(908) 241-1669
Mailing address
287 WATCHUNG FRK, WESTFIELD, NJ 07090-3816
(908) 233-7383
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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