Individual
SUSAN MARIE HUDOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 3RD AVE, LONG BRANCH, NJ 07740-6214
(732) 222-7006
Mailing address
255 3RD AVE, LONG BRANCH, NJ 07740-6214
(732) 222-7006
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MA062194
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6550908
—
NJ
Enumeration date
08/11/2006
Last updated
07/08/2007
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