Individual provider · Type 1 NPI

Stephanie Pudalov, MD, MS

Student in an Organized Health Care Education/Training Program · Phillipsburg, NJ

NPI number 1003749490 Active

Practice location

755 Memorial Pkwy Ste 300
Phillipsburg, NJ 08865-2748

Call (908) 847-3300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003749490

Stephanie Pudalov, MD, MS's National Provider Identifier is 1003749490, issued on Jun 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phillipsburg, NJ. The record was last updated on Jun 4, 2026.