Provider Demographics
NPI:1689121857
Name:CUDJOE, MARCELLA (APN)
Entity Type:Individual
Prefix:
First Name:MARCELLA
Middle Name:
Last Name:CUDJOE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 DUNHAMS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3500
Mailing Address - Country:US
Mailing Address - Phone:732-254-3300
Mailing Address - Fax:732-651-0822
Practice Address - Street 1:123 DUNHAMS CORNER RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3500
Practice Address - Country:US
Practice Address - Phone:732-254-3300
Practice Address - Fax:732-651-0822
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00496200363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health