Individual
LAWRENCE D. BUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-2900
(973) 972-2904
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05250500
NJ
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
25MA05250500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6432701
—
NJ
Enumeration date
07/13/2006
Last updated
06/08/2009
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