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Individual

MISS JUDITH GANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
142 PALISADE AVE., SUITE 200, JERSEY CITY, NJ 07306
(917) 539-1804
(201) 792-7812
Mailing address
142 PALISADE AVE., SUITE 200, JERSEY CITY, NJ 07306
(917) 539-1804
(201) 792-7812

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00582300
NJ
363LF0000X
Family Nurse Practitioner
F335304-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03208995
NY
Enumeration date
12/14/2009
Last updated
09/09/2025
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