Provider Demographics
NPI:1679735005
Name:SEDUTTO, PAULINA MAGDALENA (MD)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:MAGDALENA
Last Name:SEDUTTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 ROUTE 35 STE 100
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2758
Mailing Address - Country:US
Mailing Address - Phone:732-663-0030
Mailing Address - Fax:732-663-0882
Practice Address - Street 1:1900 ROUTE 35 STE 100
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2758
Practice Address - Country:US
Practice Address - Phone:732-663-0030
Practice Address - Fax:732-663-0882
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA09761200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program