Duda, Phyllis

Duda, Phyllis is an individual health care provider with primary practice located at 2 Cooper Plz 400 Haddon Ave, Camden NJ 08103-1461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Duda, Phyllis can be contacted via phone (855) 632-2667.

Contact Information

Primary practice address
2 Cooper Plz 400 Haddon Ave Camden NJ 08103-1461
Phone: (855) 632-2667
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NJ000082 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00008200 New Jersey

Profile Details

NPI number 1235164583
LBN Legal business name Duda, Phyllis
Credentials RN APN C AOCN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235164583 NPPES
New Jersey MEDICAID 8829802
New Jersey Other 500028955

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