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Individual

DR. HEATHER ANNE TYRELL SOUDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1271
(888) 244-5373
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(888) 244-5373

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
010917
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
25MB09954500
NJ

Other

Enumeration date
07/06/2009
Last updated
01/19/2022
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