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Individual

DR. MARY KATHERINE POWDERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, FACOG, AAAAM

Contact information

Practice address
32 WORLDS FAIR DR STE 201, SOMERSET, NJ 08873-1388
(732) 356-1266
(732) 356-1196
Mailing address
19 HUNTERS CROSSING RD, SOMERSET, NJ 08873-7706
(732) 873-1843
(732) 873-8977

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA04685500
NJ
208D00000X
General Practice Physician
25MA04685500
NJ

Other

Enumeration date
10/20/2006
Last updated
02/17/2019
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