Individual
SUSAN BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 GOFFLE RD, RIDGEWOOD, NJ 07450-4027
(201) 612-1006
(201) 612-1091
Mailing address
505 GOFFLE RD, RIDGEWOOD, NJ 07450-4027
(201) 612-1006
(201) 612-1091
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN05748000
NJ
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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