Individual
SUSAN HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
499 MARLBORO RD, OLD BRIDGE, NJ 08857-3746
(732) 360-9600
(732) 360-9700
Mailing address
37 EMBROIDERY ST, SAYREVILLE, NJ 08872-1812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00056800
NJ
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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