Individual
DR. VITALY ZHOLUDEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHEFFIELD DRIVE SUITE 202A, COLUMBUS, NJ 08022
(609) 740-0030
(609) 740-0031
Mailing address
1 SHEFFIELD DRIVE SUITE 202A, COLUMBUS, NJ 08022
(609) 740-0030
(609) 740-0031
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
006805
GA
208800000X
Urology Physician
Primary
25MA10390900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2014
Last updated
12/03/2025
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