Individual
JAMES PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, ER DEPT, PATERSON, NJ 07503
(973) 754-2000
Mailing address
PO BOX 51003, NEWARK, NJ 07101
(866) 687-1790
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MA040731
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8778001
—
NJ
Enumeration date
07/31/2006
Last updated
11/03/2007
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