# SUSAN L. CECERE, M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255516084
- **Authorized official:** SUSAN L CECERE M.D. (PHYSICIAN/SOLE PROPRIETOR)
- **Authorized official phone:** (973) 495-3299

## Contact information

- **Practice address:** 60 GORDON RD, ESSEX FELLS, NJ 07021-1604
- **Practice address phone:** (973) 495-3299
- **Practice address fax:** (973) 228-4790
- **Mailing address:** 60 GORDON RD, ESSEX FELLS, NJ 07021-1604
- **Mailing address phone:** (973) 495-3299
- **Mailing address fax:** (973) 228-4790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MA060419 | NJ | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 04/12/2011
