Doctor Name: | LINDA HOYDAL |
NPI Number: | 1184810764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 25MP00063900 |
Business Practice Address: | 328 W Saint Georges Ave Linden, NJ - 070365638 |
Business Phone Number: | 9089257519 |
Business Fax Number: | 9089252842 |
Mailing Address: | 328 W Saint Georges Ave, LINDEN |
State: | NJ |
Postal Code: | 070365638 |
Phone Number: | 9089257519 |
Fax Number: | 9089252842 |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MP00063900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |