| Doctor Name: | MARY BADRU |
| NPI Number: | 1972946309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 26NR09797400 |
| Business Practice Address: | 76 Bayview Ave Keansburg, NJ - 077341235 |
| Business Phone Number: | 7326702478 |
| Business Fax Number: | |
| Mailing Address: | 76 Bayview Ave, KEANSBURG |
| State: | NJ |
| Postal Code: | 077341235 |
| Phone Number: | 7326702478 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 26NR09797400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |