Provider Demographics
NPI:1750171823
Name:HUDSON, WENDY CARLENE (APN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:CARLENE
Last Name:HUDSON
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 WISTERIA DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5918
Mailing Address - Country:US
Mailing Address - Phone:732-642-0285
Mailing Address - Fax:
Practice Address - Street 1:459 JACK MARTIN BLVD STE 6
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7724
Practice Address - Country:US
Practice Address - Phone:732-785-1000
Practice Address - Fax:732-785-1222
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJWAITING207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine