Provider Demographics
NPI:1740517457
Name:CUDDIHY, LAURY A (MD)
Entity type:Individual
Prefix:
First Name:LAURY
Middle Name:A
Last Name:CUDDIHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURY
Other - Middle Name:A
Other - Last Name:HASKAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3100 PRINCETON PIKE
Mailing Address - Street 2:BLDG 1, C/O INSTITUTE FOR SPINE & SCOLIOSIS
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2300
Mailing Address - Country:US
Mailing Address - Phone:609-912-1500
Mailing Address - Fax:
Practice Address - Street 1:3100 PRINCETON PIKE
Practice Address - Street 2:BLDG 1, C/O INSTITUTE FOR SPINE & SCOLIOSIS
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2300
Practice Address - Country:US
Practice Address - Phone:609-912-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMS437351207XS0117X
NJ25MA08635900207XS0117X
NY256968207XS0117X
ME018421207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery