Whalio Doctors

NPI 1003251422

Larissa Sophia Dudley, MD

Practitioner Emergency Medicine Physician Newark, NJ

Practice location

Address
201 Lyons Ave Suite D11, Newark, NJ 07112-2027
Phone
(973) 926-6671
Mailing address
2627 W Eau Gallie Blvd STE 101, Melbourne, FL 32935-8303

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence ME131434 (FL)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003251422
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Apr 2013
Record last updated
2 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.