Individual
DR. SUSAN M PUGLIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
910 S CHAPEL ST, NEWARK, DE 19713-3467
(917) 754-4877
Mailing address
910 S CHAPEL ST, NEWARK, DE 19713-3467
(917) 754-4877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0456551
NY
122300000X
Dentist
G3-0000393
DE
1223G0001X
General Practice Dentistry
Primary
G8-CH00004
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600820
—
NY
Enumeration date
06/02/2006
Last updated
03/22/2023
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