Organization · Type 2 NPI
Prudentmd LLC
Primary Care Clinic/Center · Iselin, NJ
NPI number
1457524217
Active
Practice location
5 Dundee Avenue
Iselin, NJ 08830-2118
Fax (800) 310-0849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 25MA08134000 (NJ) |
Primary Care Clinic/Center: Definition to come...
About NPI 1457524217
Prudentmd LLC's National Provider Identifier is 1457524217, issued on Apr 11, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Iselin, NJ. The record was last updated on Sep 26, 2008.