Basic Information
| Provider Information | |||||||||
| NPI: | 1194803460 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRODY | ||||||||
| FirstName: | MARLENE | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 671 HOES LN | ||||||||
| Address2: | P. O. BOX 1392 | ||||||||
| City: | PISCATAWAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088545627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322355940 | ||||||||
| FaxNumber: | 7322352408 | ||||||||
| Practice Location | |||||||||
| Address1: | 671 HOES LN | ||||||||
| Address2: | |||||||||
| City: | PISCATAWAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088545627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009695300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364S00000X | 26NC07990000 | NJ | X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | 163W00000X | NJ | X | Nursing Service Providers | Registered Nurse |
No ID Information.