Individual
OLGA UDOVENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3100
Mailing address
518 CENTRAL AVE, CARLSTADT, NJ 07072-1536
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS13488
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2014
Last updated
01/25/2019
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