Individual
SUSAN MUGALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-0000
Mailing address
7 GATES PL, WAYNE, NJ 07470-3217
(973) 883-5889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14847600
NJ
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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