Individual
MRS. COLLEEN DUFOUR MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
655 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4179
(732) 614-6759
Mailing address
13 ISLAND DR, BRICK, NJ 08724-4431
(732) 614-6759
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.322892
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.007417
IL
367500000X
Certified Registered Nurse Anesthetist
26NJ00470500
NJ
Other
Enumeration date
12/09/2008
Last updated
07/18/2025
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