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Marissa Kudo, DO
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1740975226

Marissa Kudo is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Marissa Kudo practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Marissa Kudo is 1740975226 and holds a License No. (New Jersey).

The current practice location address for Marissa Kudo is 90 Bergen St Ste 8100, Newark, NJ and can be reached out via phone at 973-972-2548.

Location: 90 Bergen St Ste 8100, Newark, NJ, 07103-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740975226
Provider Name
Marissa Kudo
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
90 Bergen St Ste 8100, Newark, NJ, 07103-2425
Phone Number
973-972-2548
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Bergen St Ste 8100
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-2548
Fax Number
person
Provider Business Mailing Address Details
Address
90 Bergen St Ste 8100
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-2548
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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