Individual
MS. NAW SUSAN THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BOWMAN DR STE E385, VOORHEES, NJ 08043-9638
(856) 840-4534
(856) 762-2853
Mailing address
1600 HADDON AVE RM 122, CAMDEN, NJ 08103-3101
(856) 886-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014150
NY
363A00000X
Physician Assistant
Primary
25MP00414700
NJ
Other
Enumeration date
09/04/2010
Last updated
06/27/2023
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