Individual
JUDITH BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 HUGHES ST, LODI, NJ 07644-1211
(917) 806-8916
Mailing address
10 HUGHES ST, LODI, NJ 07644-1211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406855
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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