Individual
MRS. SUSANNAH BOCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 SAINT LAWRENCE AVE, MAPLEWOOD, NJ 07040-1118
(610) 213-2406
Mailing address
20 SAINT LAWRENCE AVE, MAPLEWOOD, NJ 07040-1118
(610) 213-2406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643799
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ00839000
NJ
363LF0000X
Family Nurse Practitioner
338667
NY
Other
Enumeration date
07/18/2013
Last updated
02/12/2025
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