Individual
YUDELKA B DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244-2300
(609) 653-3265
Mailing address
4906 TULIP TREE PL, MAYS LANDING, NJ 08330-2831
(609) 277-4951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
25MP00818900
NJ
Other
Enumeration date
09/05/2023
Last updated
12/11/2024
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