Jessica Ludolph
Pediatrics in Raritan, NJ. Individual provider (NPI-1).
NPI number1164050811
StatusActive
Last updated in NPPESFeb 27, 2026
Details
- NPI
- 1164050811
- Entity type
- Individual (NPI-1)
- Name
- Jessica Ludolph
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2020
- Certification date
- Feb 27, 2026
- Last updated
- Feb 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 25MA11959700 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
575 Route 28 Ste 2205Suite 2100
Raritan, NJ 08869-1363
Phone 908-725-5530
Mailing address
575 Route 28 Ste 2205Raritan, NJ 08869-1363
Phone 908-725-5530
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