Individual
IRIS G. UDASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
25MA042845
NJ
2083X0100X
Occupational Medicine Physician
Primary
25MA04284500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0874400
—
NJ
Enumeration date
01/30/2007
Last updated
07/23/2021
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