Individual
MR. JUSTIN MATTHEW DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC, CCRN
Contact information
Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
(410) 337-1100
Mailing address
2851 WESTMINSTER ST, MANCHESTER, MD 21102-1787
(410) 861-7244
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R211861
MD
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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