Individual
MRS. KIMBERLY DUDAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
901 W MAIN ST, SUITE 106, FREEHOLD, NJ 07728-2537
(732) 461-0100
(732) 780-0014
Mailing address
17 BROAD ST, FREEHOLD, NJ 07728-1703
(732) 461-9622
(732) 780-0014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00037300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7461402
—
NJ
05
—
9132902
—
NJ
Enumeration date
02/24/2006
Last updated
07/09/2007
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