Individual
MS. SUSAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
327 GOFFLE RD, RIDGEWOOD, NJ 07450-4033
(201) 926-2247
Mailing address
327 GOFFLE RD, RIDGEWOOD, NJ 07450-4033
(201) 926-2247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00620100
NJ
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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