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Individual

SIDDHARTH KUDAV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316
Mailing address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2011016892
MO
208600000X
Surgery Physician
Primary
25MA10525900
NJ

Other

Enumeration date
06/16/2011
Last updated
02/05/2021
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